Individual
KATHLEEN M. HURAYT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
F.N.P.
Contact information
Practice address
114 E SOUTH HILLS DR, MARYVILLE, MO 64468-2659
(660) 562-2525
(660) 562-4308
Mailing address
114 E SOUTH HILLS DR, MARYVILLE, MO 64468-2659
(660) 562-2525
(660) 562-4308
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2003013076
MO
363LF0000X
Family Nurse Practitioner
A108719
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0576140
—
IA
05
—
1576140
—
IA
05
—
2576140
—
IA
05
—
3576140
—
IA
Enumeration date
06/13/2005
Last updated
07/09/2007
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