Individual
KALLIE BATEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
4742 FARM ROAD 2140, EXETER, MO 65647-7260
(417) 342-3598
Mailing address
4742 FARM ROAD 2140, EXETER, MO 65647-7260
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2018002456
MO
363L00000X
Nurse Practitioner
2023007998
MO
363LF0000X
Family Nurse Practitioner
Primary
2023007998
MO
Other
Enumeration date
10/24/2022
Last updated
04/15/2024
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