Individual
KAMILLE BAKER KONOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPT
Contact information
Practice address
416 S HIGH ST, BUTLER, MO 64730-1827
(660) 679-6158
Mailing address
8610 MEADOW LN, LEAWOOD, KS 66206-1426
(816) 506-6738
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
2018003248
MO
2251P0200X
Pediatric Physical Therapist
Primary
2018003248
MO
Other
Enumeration date
12/12/2023
Last updated
12/12/2023
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