Individual
KRISTY GAINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1091 MIDWAY DR, LINN CREEK, MO 65052-1687
(573) 346-6758
Mailing address
1800 COMMUNITY, CLINTON, MO 64735-8804
(660) 885-8131
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2003009896
MO
Other
Enumeration date
02/15/2016
Last updated
02/15/2016
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