KENNETH JOE TALLEY

KENNETT, MO
NPI1104167972
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy247200000X 
Enumeration Date2013-03-04
Last Update Date2013-03-04
Business Address
Mr. KENNETH JOE TALLEY
1109 JONES ST
KENNETT, MO 63857-3824
Phone number: 573-888-6545
Mailing Address
Mr. KENNETH JOE TALLEY
1109 JONES ST PO BOX 470
KENNETT, MO 63857-3824
Phone number: 573-888-6545