Individual
DR. KELSIE JEAN LINEBACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DHA
Contact information
Practice address
14122 3RD ST BLDG 350, FORT LEONARD WOOD, MO 65473-9167
(573) 596-9677
Mailing address
14122 3RD ST BLDG 350, FORT LEONARD WOOD, MO 65473-9167
(573) 596-9677
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
Other
Enumeration date
08/13/2021
Last updated
08/13/2021
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