Individual
KATHLEEN ANITA CARROLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
107 NORTH MAY STREET, DEARBORN, MO 64439-6443
(816) 807-4808
Mailing address
PO BOX 64, DEARBORN, MO 64439-0064
(816) 807-4808
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
—
—
Other
Enumeration date
02/20/2025
Last updated
02/20/2025
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