Individual
AMY CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1506 CROWN DR, KIRKSVILLE, MO 63501-2553
(660) 627-4493
Mailing address
1416 CROWN DR, KIRKSVILLE, MO 63501-2548
(660) 627-5757
(660) 627-5802
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
Other
Enumeration date
01/20/2020
Last updated
01/20/2020
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