Individual
DR. KURT ALLEN DEBORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1005 CHERRY ST, SUITE 202B, COLUMBIA, MO 65201-7900
(573) 881-5878
Mailing address
1013 W STEWART RD, COLUMBIA, MO 65203-2203
(573) 881-5878
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2004024724
MO
Other
Enumeration date
07/25/2011
Last updated
01/13/2012
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