KELLIE C HERBST

KIRKSVILLE, MO
NPI1497731574
Former NameKELLIE C GUARDADO
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy124Q00000X Dental Hygienist
(Licence: MO  003847)
Enumeration Date2005-12-20
Last Update Date2012-11-06
Business Address
-- KELLIE C HERBST RDH
402 W JEFFERSON ST
KIRKSVILLE, MO 63501-3407
Phone number: 660-665-2741
Mailing Address
-- KELLIE C HERBST RDH
1416 CROWN DR
KIRKSVILLE, MO 63501-2548
Phone number: 660-627-5757