Individual
KATHLEEN E HAYCRAFT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
163 MEDICAL DR, HANNIBAL, MO 63401-6884
(573) 248-3900
Mailing address
163 MEDICAL DR, HANNIBAL, MO 63401-6884
(573) 719-1818
(573) 719-1818
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
072208
MO
Other
Enumeration date
08/03/2006
Last updated
10/30/2018
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