Individual
TRINA MCINTOSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1601 W 4TH ST, COFFEYVILLE, KS 67337-3333
(620) 251-8180
Mailing address
1601 W 4TH ST, COFFEYVILLE, KS 67337-3333
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
13-99195-112
KS
Other
Enumeration date
05/04/2007
Last updated
07/08/2007
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