Individual
MRS. KATHY BELL X
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
113 SUMMIT ST, MANSFIELD, MO 65704-8196
(417) 664-3695
(417) 924-8112
Mailing address
113 SUMMIT ST, MANSFIELD, MO 65704-8196
(417) 664-3695
(417) 924-8112
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
46352771400
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
46352771400
—
MO
Enumeration date
07/02/2014
Last updated
07/02/2014
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