Individual
KAYLEA BULTMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2305 S HIGHWAY 65, MARSHALL, MO 65340-3702
(660) 886-7431
Mailing address
2303 S HIGHWAY 65, MARSHALL, MO 65340-3734
(660) 886-7431
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2023045074
MO
Other
Enumeration date
11/10/2023
Last updated
04/19/2024
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