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Individual

KELLI K HOFFMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
106 NORTH ST, LATHROP, MO 64465-9609
(816) 740-3282
(816) 528-3003
Mailing address
1600 E EVERGREEN ST, CAMERON, MO 64429-2400
(816) 632-2101
(816) 649-3383

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2012039957
MO

Other

Enumeration date
11/30/2012
Last updated
11/30/2012
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