Individual
MRS. CANDACE D CHESNUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1102 W 32ND ST, JOPLIN, MO 64804-3503
(417) 347-1111
Mailing address
209 W 7TH ST, COFFEYVILLE, KS 67337-4954
(620) 251-1100
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2014030133
MO
Other
Enumeration date
09/28/2011
Last updated
06/14/2021
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