Individual
LISA B KAIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
3065 WILLIAM ST, SUITE 209, CAPE GIRARDEAU, MO 63703-6393
(573) 335-4100
(573) 339-7887
Mailing address
3065 WILLIAM ST, STE 209, CAPE GIRARDEAU, MO 63703-6393
(573) 335-4100
(573) 339-7887
Taxonomy
Speciality
Code
Description
License number
State
363LC1500X
Community Health Nurse Practitioner
Primary
140371
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
421499401
—
MO
01
—
5719955
FIRST HEALTH
MO
01
—
763717
HEALTHLINK
MO
Enumeration date
01/16/2007
Last updated
10/07/2020
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