Individual
KIM BUSHNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
175 N SCHOOL AVE, HARTVILLE, MO 65667
(417) 741-7676
(417) 741-6668
Mailing address
175 N SCHOOL AVE, HARTVILLE, MO 65667
(417) 741-7676
(417) 741-6668
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
113084
MO
Other
Enumeration date
11/29/2010
Last updated
11/29/2010
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