Individual
KELSEY DAMICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 HALZ PLAZA, PIEDMONT, MO 63957-6395
(573) 223-4800
Mailing address
1 HALZ PLAZA, PIEDMONT, MO 63957
(573) 223-4800
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2022026307
MO
Other
Enumeration date
07/08/2022
Last updated
07/19/2022
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