Individual
MRS. KRISTINA LYNN HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
34513 STATE HIGHWAY J, STANBERRY, MO 64489-9232
(660) 783-5104
Mailing address
34513 STATE HIGHWAY J, STANBERRY, MO 64489-9232
(660) 783-5104
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
14-94019-042
KS
163W00000X
Registered Nurse
Primary
152210
MO
163W00000X
Registered Nurse
R055851
ME
Other
Enumeration date
11/09/2010
Last updated
11/09/2010
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