Individual
KATHY FORSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1235 E. CHEROKEE ST., SPRINGFIELD, MO 65804
(417) 820-2000
Mailing address
1109 E. LINWOOD DR., SPRINGFIELD, MO 65807-1851
(417) 830-6134
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2020006141
MO
363LF0000X
Family Nurse Practitioner
F12190784
MO
Other
Enumeration date
07/22/2020
Last updated
07/22/2020
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