Individual
MRS. KELLY C EFTINK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
60 BUSINESS PARK DR STE A, TROY, MO 63379-2828
(366) 728-9460
(366) 775-1544
Mailing address
60 BUSINESS PARK DR STE A, SUITE A, TROY, MO 63379-8903
(366) 333-9723
(366) 775-1544
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2012035667
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1447503909
—
MO
Enumeration date
10/22/2012
Last updated
11/27/2018
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