Individual
KAITLIN ELIZABETH CAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
227 METRO DR, JEFFERSON CITY, MO 65109-1134
(573) 634-3000
Mailing address
7415 ROUTE D, JEFFERSON CITY, MO 65109-8309
(573) 418-5536
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
2017026894
MO
Other
Enumeration date
12/21/2017
Last updated
12/21/2017
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