Individual
KAYLA RENAE MONAGHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1600 E BROADWAY, COLUMBIA, MO 65201-5844
(573) 815-8000
Mailing address
9851 JOHNSON CEMETERY RD, ASHLAND, MO 65010-9651
(660) 621-7362
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2020011168
MO
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
05/26/2015
Last updated
03/09/2021
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