Individual
KYLI A STUMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C, RN
Contact information
Practice address
1300 N OAKLAND AVE, BOLIVAR, MO 65613-3018
(417) 326-7676
Mailing address
1300 N OAKLAND AVE, BOLIVAR, MO 65613-3018
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2022005997
MO
Other
Enumeration date
02/21/2022
Last updated
02/21/2022
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