Individual
MRS. JENNIFER L. KALYANGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2690 US HIGHWAY 54, KINGDOM CITY, MO 65262-0033
(573) 386-2214
(573) 386-2169
Mailing address
2690 US HIGHWAY 54, KINGDOM CITY, MO 65262-0033
(573) 386-2214
(573) 386-2169
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2003003153
MO
Other
Enumeration date
11/30/2006
Last updated
07/08/2007
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