Individual
KATHRYN A. HERFKENS-AMPLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
332 S MAIN AVE, REPUBLIC, MO 65738-1861
(417) 732-5050
(417) 732-8061
Mailing address
PO BOX 2580, SPRINGFIELD, MO 65801-2580
(417) 829-4620
(417) 829-4316
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
145564
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
424668408
—
MO
Enumeration date
10/13/2006
Last updated
07/15/2008
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