Individual
MRS. KASEY MARIE HOLIFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPS
Contact information
Practice address
925 HIGHWAY V V, KENNETT, MO 63857-0071
(573) 888-5925
Mailing address
20 S SPRIGG ST, CAPE GIRARDEAU, MO 63703-6212
(573) 888-5925
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
12466
MO
Other
Enumeration date
06/22/2020
Last updated
06/22/2020
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