Individual
KYLE HAYDEN LAFARGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1020 HITT STREET, COLUMBIA, MO 65201
(573) 882-8788
Mailing address
5574 S BETHEL LN, COLUMBIA, MO 65203-9473
(573) 356-2242
Taxonomy
Speciality
Code
Description
License number
State
364SC2300X
Chronic Care Clinical Nurse Specialist
Primary
130671260005
MO
Other
Enumeration date
06/17/2014
Last updated
06/17/2014
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