JACKIE JEAN SUTHERLAND

KENNETT, MO
NPI1720088347
Former NameJACKIE JEAN TURNER
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy207R00000X Internal Medicine
(Licence: MO  2003013951)
Enumeration Date2005-07-26
Last Update Date2012-09-05
Business Address
Mrs. JACKIE JEAN SUTHERLAND DO
603 TEACO ROAD
KENNETT, MO 63857-3266
Phone number: 573-717-7676
Mailing Address
Mrs. JACKIE JEAN SUTHERLAND DO
603 TEACO ROAD.
KENNETT, MO 63857-3266
Phone number: 573-717-7676