Individual
MRS. KRISTEN LEIGH MACDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1102 W 32ND ST, JOPLIN, MO 64804-3503
(417) 347-1111
Mailing address
PO BOX 3810, JOPLIN, MO 64803-3810
(417) 343-5053
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
2014004048
MO
367500000X
Certified Registered Nurse Anesthetist
Primary
209029243
IL
Other
Enumeration date
02/11/2014
Last updated
02/29/2024
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