Individual
KALYNN WOODS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1604 C. NORTH MAIN STREET, MOUNTAIN GROVE, MO 65711
(417) 926-1713
Mailing address
PO BOX 1359, AVA, MO 65608-1359
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2020007079
MO
Other
Enumeration date
03/13/2020
Last updated
03/13/2020
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