Individual
MARVIN KULLEN POE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1100 N KENTUCKY AVE, WEST PLAINS, MO 65775-2029
(417) 256-9111
Mailing address
602 OAK PARK BLVD, WEST PLAINS, MO 65775-5195
(870) 217-5458
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R081024
AR
Other
Enumeration date
04/14/2013
Last updated
04/26/2016
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