Individual
KATHERINE MATTHEWS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
101 S MAIN ST, POPLAR BLUFF, MO 63901-5843
(573) 686-5090
Mailing address
PO BOX 459, FARMINGTON, MO 63640-0459
(573) 756-5749
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
048030
MO
Other
Enumeration date
10/07/2016
Last updated
10/07/2016
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