Individual
BEVERLY ANN BERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1109 JONES ST, KENNETT, MO 63857-3824
(573) 888-5925
(573) 888-8833
Mailing address
1109 JONES ST, KENNETT, MO 63857-3824
(573) 888-6454
(573) 888-2389
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
197377
MO
Other
Enumeration date
05/11/2017
Last updated
05/11/2017
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