Individual
KELLI KERNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
202 W COLUMBIA ST, FARMINGTON, MO 63640-1705
(573) 756-0555
(573) 756-0556
Mailing address
202 W COLUMBIA ST, FARMINGTON, MO 63640-1705
(573) 756-0555
(573) 756-0556
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
2009008392
MO
Other
Enumeration date
11/23/2009
Last updated
02/24/2015
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