Individual
MRS. KERI ANN HEADRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
704 E HIGHWAY 28, OWENSVILLE, MO 65066-1588
(573) 437-2959
(573) 437-2974
Mailing address
704 E HIGHWAY 28, OWENSVILLE, MO 65066-1588
(573) 437-2959
(573) 437-2974
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
2011039030
MO
Other
Enumeration date
08/28/2014
Last updated
08/28/2014
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