Individual
KELSEY L. STORER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
3231 S NATIONAL AVE STE 440, SPRINGFIELD, MO 65807-7304
(417) 888-5660
Mailing address
3231 S NATIONAL AVE STE 440, SPRINGFIELD, MO 65807-7304
(417) 888-5660
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2017033073
MO
Other
Enumeration date
02/14/2018
Last updated
07/15/2022
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