Provider First Line Business Practice Location Address:
1301 1ST ST
Provider Second Line Business Practice Location Address:
EMERGENCY DEPARTMENT
Provider Business Practice Location Address City Name:
KENNETT
Provider Business Practice Location Address State Name:
MO
Provider Business Practice Location Address Postal Code:
63857-2525
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
573-888-8400
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
09/28/2006