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Individual

DR. KATE SELSBY REVILL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPM

Contact information

Practice address
407 NE 76TH TER, GLADSTONE, MO 64118-1708
(816) 436-7900
(816) 436-0999
Mailing address
18080 BEACH BLVD 103, HUNTINGTON BEACH, CA 92648-1343
(714) 596-8800
(714) 596-8889

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
2013035885
MO

Other

Enumeration date
07/27/2010
Last updated
12/01/2015
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