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1275045171
KELSEY SOUTHARD
SPRINGFIELD, MO
NPI
1275045171
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2080N0001X Pediatrics, Neonatal-Perinatal Medicine
(Licence: MO 2017038733)
Enumeration Date
2017-11-01
Last Update Date
2019-02-21
Business Address
KELSEY SOUTHARD
3801 S NATIONAL AVE
SPRINGFIELD, MO 65807-5210
Phone number: 417-269-6060
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Mailing Address
KELSEY SOUTHARD
PO BOX 4046
SPRINGFIELD, MO 65808-4046
Phone number: 417-269-5712
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