Individual
JILLIAN KATHERINE VERVYNCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 COLLEGE HL, CANTON, MO 63435-1257
(573) 288-6000
Mailing address
409 S 4TH ST, CANTON, MO 63435-1647
(913) 274-0626
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
01/16/2026
Last updated
01/16/2026
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