Individual
KYLEIGH SUE DECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
211 SAINT FRANCIS DR, CAPE GIRARDEAU, MO 63703-5049
(573) 331-3000
Mailing address
446 NORTHVIEW ESTATES DR, JACKSON, MO 63755-8911
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
2023040432
MO
363A00000X
Physician Assistant
Primary
2023040432
MO
Other
Enumeration date
10/12/2023
Last updated
10/12/2023
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