Individual
WUTHISAK SOONATTRAKUL
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Contact information
Practice address
105 E WASHINGTON ST, KENNETT, MO 63857-2041
(573) 888-1137
(573) 888-0920
Mailing address
105 E WASHINGTON ST, KENNETT, MO 63857-2041
(573) 888-1137
(573) 888-0920
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
34105
MO
Other
Enumeration date
10/12/2005
Last updated
07/08/2007
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