Individual
KENDAL ROSALIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
4430 MISSOURI AVE, FORT LEONARD WOOD, MO 65473-9098
(573) 596-1770
Mailing address
4430 MISSOURI AVE, FORT LEONARD WOOD, MO 65473-9098
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
2495
NE
208D00000X
General Practice Physician
2495
NE
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/29/2020
Last updated
08/13/2024
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