Individual
KATHLEEN WLATON DAVID
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
303 N KEENE ST, SUITE 301, COLUMBIA, MO 65201-7193
(573) 449-0808
(573) 442-1331
Mailing address
303 N KEENE ST, SUITE 301, COLUMBIA, MO 65201-7193
(573) 449-0808
(573) 442-1331
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2005001162
MO
Other
Enumeration date
11/02/2005
Last updated
06/05/2009
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