Individual
DR. KATHI D. CLEMENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1601 N BISHOP AVE, ROLLA, MO 65401-2249
(573) 364-8100
(573) 341-9475
Mailing address
PO BOX 2580, SPRINGFIELD, MO 65801-2580
(417) 829-4620
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
36072
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
205822505
—
MO
Enumeration date
01/31/2007
Last updated
05/02/2013
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