Provider Information for 1982019055
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KRISTEN SCHMAUDER
Sex: Female
NPI: 1982019055
Last Updated: 2014-06-26
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1982019055 | ||||||||
| Enumeration Date | 2014-06-26 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 4304 S BEARFIELD RD COLUMBIA, MO 65201-9557 United States Phone: 573-874-8686 | Fax:573-874-8608 | ||||||||
| Primary Practice Address | 4304 S BEARFIELD RD COLUMBIA, MO 65201-9557 United States Phone: 573-874-8686 | Fax:573-874-8608 | ||||||||
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