KELLY MARIE DERGANC

JOPLIN, MO
NPI1881900058
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LA2200X Nurse Practitioner, Adult Health
(Licence: MO  2012035666)
Additional Taxonomies363LA2200X Nurse Practitioner, Adult Health
(Licence: KS  141458)
Enumeration Date2010-08-26
Last Update Date2022-06-14
Business Address
KELLY MARIE DERGANC ARNP
100 MERCY WAY
JOPLIN, MO 64804-4524
Phone number: 417-556-2727
Mailing Address
KELLY MARIE DERGANC ARNP
909 SW MULVANE ST
TOPEKA, KS 66606-1677
Phone number: 785-357-0301