Individual
ADDIE NOELLE KAUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3524 S CULPEPPER CIR, SPRINGFIELD, MO 65804-4270
(706) 204-1252
Mailing address
3524 S CULPEPPER CIR, SPRINGFIELD, MO 65804-4270
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
10844
GA
363A00000X
Physician Assistant
Primary
2023042548
MO
Other
Enumeration date
02/16/2022
Last updated
04/30/2026
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