| NPI | 1508157140 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KERI SUTTON Owner / Nurse Practitioner 417-881-4994 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MO 116600) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MO 2010006173) |
| Enumeration Date | 2011-05-01 |
| Last Update Date | 2013-11-19 |