Individual
BEVERLY ANN PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
925 HIGHWAY VV, KENNETT, MO 63857
(573) 888-5925
(573) 888-8833
Mailing address
925 HWY VV, KENNETT, MO 63857
(573) 888-5925
(573) 888-8833
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
022377
MO
Other
Enumeration date
06/21/2017
Last updated
06/21/2017
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