Individual
MRS. KELLY MAY WENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSFA
Contact information
Practice address
1600 N 2ND ST, CLINTON, MO 64735-1192
(660) 890-7153
Mailing address
715 ILLINOIS ST, WARSAW, MO 65355-3229
(660) 596-5293
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
—
—
Other
Enumeration date
03/14/2022
Last updated
03/15/2022
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