Individual
KRISTI SCOVILLE
Active
Individual
KRISTI SCOVILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3792
CERTIFIED RECIPROCAL PREVENTION SPECIALIST, INTERNATIONAL CRPS
MO
Enumeration date
01/19/2016
Last updated
01/19/2016
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