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Individual

CAROLYN HERBERT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
304 TEACO RD, KENNETT, MO 63857-3266
(573) 888-0001
Mailing address
304 TEACO RD, KENNETT, MO 63857-3266

Taxonomy

Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
217516
AR
363LF0000X
Family Nurse Practitioner
Primary
2021038571
MO
363LF0000X
Family Nurse Practitioner
33060
TN

Other

Enumeration date
09/24/2021
Last updated
12/30/2025
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