Individual
KAITLIN ROSLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1723 BROADWAY ST STE 220, CAPE GIRARDEAU, MO 63701-4556
(573) 331-7910
Mailing address
1723 BROADWAY ST STE 220, CAPE GIRARDEAU, MO 63701-4556
(573) 331-7910
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2015021535
MO
Other
Enumeration date
07/24/2015
Last updated
09/10/2015
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