Individual
MRS. AUTUMN LYNNETTE ALLGOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
500 RUSSELL ST, KENNETT, MO 63857-2102
(573) 717-1332
Mailing address
500 RUSSELL ST, KENNETT, MO 63857-2102
(573) 717-1332
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2022040624
MO
Other
Enumeration date
10/12/2022
Last updated
10/12/2022
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