Individual
KAREN A FENSTERMACHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2550 LUSK DR, NEOSHO, MO 64850-8855
(417) 451-2060
(417) 451-6214
Mailing address
2550 LUSK DR, NEOSHO, MO 64850-8855
(417) 451-2060
(417) 451-6214
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
073207
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
428635809
—
MO
Enumeration date
07/12/2006
Last updated
03/17/2016
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