Individual
MRS. KIMBERLY D STRAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPT
Contact information
Practice address
2600 MILLER ST, BETHANY, MO 64424-2701
(660) 425-2211
(660) 425-2265
Mailing address
121 GILBERT AVE, GILMAN CITY, MO 64642-9437
(660) 876-5273
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
500493
MO
Other
Enumeration date
10/18/2006
Last updated
07/08/2007
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