Individual
DAKOTA GELSHEIMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3332 S ROANOKE AVE, SPRINGFIELD, MO 65807-5032
(417) 880-4252
Mailing address
3332 S ROANOKE AVE, SPRINGFIELD, MO 65807-5032
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
2014028845
MO
172V00000X
Community Health Worker
Primary
24-01109
KS
Other
Enumeration date
08/30/2016
Last updated
08/30/2016
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