Whalio Doctors

NPI 1023429362

Stephanie Householder, PSRTECH

Practitioner Community Health Worker Kennett, MO

Practice location

Address
935 Highway Vv, Kennett, MO 63857-0071
Phone
(573) 888-0642
Mailing address
925 Highway V V, Kennett, MO 63857-0071

Registered specialties

Community Health Worker Primary
Other Service Providers Taxonomy 172V00000X

Registry record

NPI
1023429362
Entity type
Individual
Sex (as registered)
Female
NPI issued
8 May 2014
Record last updated
8 May 2014

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.