Individual
KELSI BROOKE YATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1965 S FREMONT AVE STE 230, SPRINGFIELD, MO 65804-2258
(417) 820-7250
Mailing address
1965 S FREMONT AVE STE 230, SPRINGFIELD, MO 65804-2258
(417) 820-7250
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2010025709
MO
363LF0000X
Family Nurse Practitioner
Primary
2018024047
MO
Other
Enumeration date
05/30/2018
Last updated
04/19/2022
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