Individual
MS. KIRAN DHALIWAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
303 W SUNSHINE ST, SPRINGFIELD, MO 65807-2656
(417) 986-0452
Mailing address
303 W SUNSHINE ST, SPRINGFIELD, MO 65807-2656
(417) 986-0452
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2017002830
MO
Other
Enumeration date
08/06/2017
Last updated
08/04/2021
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