Individual
TESSA MAUREEN KRAEMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
ONE HOSPITAL DR, COLUMBIA, MO 65212-0001
(573) 882-8901
(573) 884-1902
Mailing address
PO BOX 843966, KANSAS CITY, MO 64184-3966
(573) 884-3300
(573) 884-0943
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
2022029415
MO
363AM0700X
Medical Physician Assistant
Primary
2022029415
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
220112449
—
MO
Enumeration date
01/28/2021
Last updated
10/06/2022
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