NPI 1013575612

Holly Jean Kreienkamp

Practitioner Transportation Broker Cuba, MO

Practice location

Address: 571 Dotson Rd, Cuba, MO 65453-6146
Phone: (573) 259-3512
Fax: (573) 732-3172

Registered specialties

Transportation Broker Primary

Transportation Services Taxonomy 347E00000X Licence 12042 (MO)

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Registry record

NPI: 1013575612
Entity type: Individual
Sex (as registered): Female
NPI issued: 30 May 2019
Record last updated: 30 May 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.