Individual
KIMBERLY DAWN RICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
127 E MAIN ST, WILLOW SPRINGS, MO 65793-1413
(417) 252-0935
Mailing address
1014 SASSAFRAS ST, WILLOW SPRINGS, MO 65793-1058
(417) 252-0935
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
03/04/2024
Last updated
03/04/2024
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