Individual
KIMBERLY ANN PURCELL-HOUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1509 BEEZLEY ST, SALEM, MO 65560-7716
(573) 247-7362
Mailing address
1509 BEEZLEY ST, SALEM, MO 65560-7716
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2022001543
MO
Other
Enumeration date
08/04/2022
Last updated
08/04/2022
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