Individual
KATIE A TERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
100 S TEBO ST, WINDSOR, MO 65360-1161
(660) 647-2134
(660) 890-8491
Mailing address
1088 NE HIGHWAY C, CALHOUN, MO 65323-2020
(660) 525-3169
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2013006417
MO
Other
Enumeration date
03/04/2013
Last updated
11/16/2021
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