Individual
KELLY ESTUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3415 MCINTOSH CIR, JOPLIN, MO 64804-3651
(417) 347-4000
Mailing address
3415 MCINTOSH CIR, JOPLIN, MO 64804-3651
Taxonomy
Speciality
Code
Description
License number
State
364SA2200X
Adult Health Clinical Nurse Specialist
Primary
2014026219
MO
Other
Enumeration date
08/14/2014
Last updated
08/14/2014
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