NPI 1053788653
Jenna Kadolph
Practice location
- Address
- 3050 S National Ave STE 104, Springfield, MO 65804-4242
- Phone
- (417) 597-4572
- Fax
- (417) 882-1507
Registered specialties
Community Health Worker
Primary
Registry record
- NPI
- 1053788653
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 31 Aug 2015
- Record last updated
- 31 Aug 2015
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.