Individual
KASSIDY FRILLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN APRN FNP-C
Contact information
Practice address
109 PLUM ST STE A, DONIPHAN, MO 63935-1277
(573) 351-0150
Mailing address
414 CARPENTER RD, THAYER, MO 65791-7214
(417) 293-3207
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2024022375
MO
Other
Enumeration date
06/26/2024
Last updated
06/26/2024
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