Individual
AMANDA CHELEDNIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3800 S NATIONAL AVE STE 600, SPRINGFIELD, MO 65807-5249
(417) 875-3000
Mailing address
PO BOX 802843, KANSAS CITY, MO 64180-2843
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
2016020829
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200035736
—
MO
01
—
2016020829
MISSOURI BOARD OF HEALING ARTS
MO
Enumeration date
06/21/2016
Last updated
11/30/2022
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