Individual
MALCOM DANIEL KIRTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
HIS
Contact information
Practice address
2705 N KANSAS EXPY, SPRINGFIELD, MO 65803-1113
(417) 865-8882
(417) 865-7994
Mailing address
215 SHUMAN BLVD STE 401, NAPERVILLE, IL 60563-8123
(630) 303-5380
(630) 303-5385
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
2016029074
MO
Other
Enumeration date
12/12/2017
Last updated
03/17/2018
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