Individual
KIMBERLY LASSWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
741 N BUSINESS ROUTE 5, CAMDENTON, MO 65020-2643
(573) 317-9100
Mailing address
113 JOY CIR, CAMDENTON, MO 65020-3813
(573) 317-9100
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2013000412
MO
Other
Enumeration date
08/24/2016
Last updated
08/24/2016
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