Whalio Doctors

NPI 1598750366

Susan Lynn Jolly, MD

Practitioner Orthopaedic Surgery Physician West Plains, MO

Practice location

Address
1100 N Kentucky Ave, West Plains, MO 65775-2029
Phone
(417) 256-9111
Fax
(417) 256-1746
Mailing address
1210 N. Kentucky, West Plains, MO 65775

Registered specialties (3)

Orthopaedic Surgery Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207X00000X Licence 2015013479 (MO)
Specialist
Other Service Providers Taxonomy 174400000X Licence 29220 (CO)
Orthopaedic Surgery Physician
Allopathic & Osteopathic Physicians Taxonomy 207X00000X Licence 29220 (CO)

Registry record

NPI
1598750366
Entity type
Individual
Sex (as registered)
Female
NPI issued
16 Sep 2005
Record last updated
17 Jul 2024

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.