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Individual

KENDRA LUNDGREN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
561 S LOVERS LN, SCOTT CITY, KS 67871-5029
(620) 874-2310
(620) 872-5782
Mailing address
561 S LOVERS LN, SCOTT CITY, KS 67871-5029
(620) 874-2310
(620) 872-5782

Taxonomy

Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary

Other

Enumeration date
06/18/2009
Last updated
06/18/2009
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