DONITA KI BOAN

JOPLIN, MO
NPI1124067590
Other NameDONITA KI KENNEDY
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207L00000X Anesthesiology
(Licence: MO  2006013764)
Additional Taxonomies207L00000X Anesthesiology
(Licence: OK  4085)
Enumeration Date2006-06-04
Last Update Date2010-10-07
Business Address
-- DONITA KI BOAN D.O.
1102 W 32ND ST
JOPLIN, MO 64804-3503
Phone number: 417-347-1078
Mailing Address
-- DONITA KI BOAN D.O.
PO BOX 3810
JOPLIN, MO 64803-3810
Phone number: 417-347-1078