Individual
KATELYN WHITSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
925 HIGHWAY VV, POST OFFICE BOX 71, KENNETT, MO 63857
(573) 359-8638
Mailing address
925 HIGHWAY VV POST OFFICE BOX 71, HAYTI, MO 63851
(573) 359-8638
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
12/29/2015
Last updated
12/29/2015
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