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Individual

KATHRYN L EGLY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
3801 S NATIONAL AVE, SPRINGFIELD, MO 65807
(417) 269-6583
Mailing address
PO BOX 802843, KANSAS CITY, MO 64180-2843
(417) 269-5712
(417) 269-7567

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
0101229810
VA
207P00000X
Emergency Medicine Physician
Primary
2011002857
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
010200415
VA
05
1518900869
MO
05
204567408
MO
Enumeration date
06/14/2006
Last updated
12/22/2025
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