Individual
KAYLEA BETH PERJAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-PC
Contact information
Practice address
1965 S FREMONT AVE STE 220, SPRINGFIELD, MO 65804-2283
(417) 820-0280
Mailing address
1965 S FREMONT AVE STE 220, SPRINGFIELD, MO 65804-2283
(417) 820-0280
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
2020017475
MO
Other
Enumeration date
06/21/2020
Last updated
02/22/2022
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