Individual
KAITLINN ANN WAITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
HIS
Contact information
Practice address
301 N WASHINGTON ST STE 4B, FARMINGTON, MO 63640-1750
(573) 756-5550
Mailing address
301 N WASHINGTON ST STE 4B, FARMINGTON, MO 63640-1750
(573) 756-5550
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
2021027319
MO
Other
Enumeration date
07/19/2021
Last updated
07/19/2021
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