Individual
ISABEL PENG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 E NORMAL AVE, KIRKSVILLE, MO 63501-4221
(660) 785-4236
Mailing address
2738 NORTHLAND DR, COLUMBIA, MO 65202-1824
(573) 200-4807
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
MO
Other
Enumeration date
09/06/2022
Last updated
09/13/2022
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