Individual
MCKAYLA WHEELER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
HIS
Contact information
Practice address
648 N BUSINESS ROUTE 5, CAMDENTON, MO 65020-2642
(573) 346-4500
(573) 346-0480
Mailing address
2719 W WALNUT ST, SPRINGFIELD, MO 65802-4744
(417) 840-8207
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
2017041494
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2017041494
HEARING INSTRUMENT SPECIALIST
MO
Enumeration date
12/04/2017
Last updated
09/03/2020
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