Individual
KATHERINE RYAN DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.P.N.
Contact information
Practice address
1450 E 10TH ST, ROLLA, MO 65401-3648
(573) 364-7551
Mailing address
1450 E 10TH ST, ROLLA, MO 65401-3648
(573) 364-7551
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
2003025580
MO
Other
Enumeration date
09/16/2014
Last updated
09/16/2014
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