Individual
KELLY J BEDFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
920 E 1ST ST, PECULIAR, MO 64078-9572
(816) 679-8446
Mailing address
920 E 1ST ST, PECULIAR, MO 64078-9572
(816) 679-8446
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
148860
MO
Other
Enumeration date
02/26/2007
Last updated
06/05/2012
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