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Organization

TRISTATE CHRONIC CARE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KATY KENNEDY (MANAGING MEMBER)
(912) 996-3911
Entity
Organization

Contact information

Practice address
2216 E 32ND ST STE 203, JOPLIN, MO 64804-3075
(417) 295-7455
(417) 530-1446
Mailing address
2216 E 32ND ST STE 203, JOPLIN, MO 64804-3075
(912) 996-3911

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary

Other

Enumeration date
10/20/2025
Last updated
10/20/2025
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