Individual
HATTIE JANE KURK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
801 CORPORATE CENTRE DR, O FALLON, MO 63368-8685
(217) 257-7076
Mailing address
801 CORPORATE CENTRE DR, O FALLON, MO 63368-8685
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2025028262
MO
Other
Enumeration date
08/11/2025
Last updated
08/11/2025
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