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Individual

KRISTIN WAUGH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
2820 E ROCK HAVEN RD STE 100, HARRISONVILLE, MO 64701-4413
(816) 380-3582
(816) 380-6964
Mailing address
2820 E ROCK HAVEN RD STE 100, HARRISONVILLE, MO 64701-4413
(816) 380-3582
(816) 380-6964

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2015038465
MO

Other

Enumeration date
12/14/2015
Last updated
01/03/2023
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