Individual
DR. KATHRYN NICOLE FAIDLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1100 VIRGINIA AVENUE, COLUMBIA, MO 65212-0001
(573) 882-2663
Mailing address
4912 KENORA DR, COLUMBIA, MO 65201-1106
(719) 359-7517
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
2023023578
MO
Other
Enumeration date
06/20/2023
Last updated
06/20/2023
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