Individual
KELLY RIECHERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
100 HOSPITAL DR, LEBANON, MO 65536-9210
(417) 533-6026
Mailing address
100 HOSPITAL DR, LEBANON, MO 65536-9210
(417) 533-6026
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2010005770
MO
367500000X
Certified Registered Nurse Anesthetist
Primary
2020019959
MO
Other
Enumeration date
05/13/2020
Last updated
07/06/2020
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