Kelley Haertilng

NPI #1235697525 in Perryville, Missouri

Provider Information

NPI Number: 1235697525
Entity Type: Individual
Name: Kelley Haertilng
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Mar 6, 2019
Last Updated: Mar 6, 2019

Practice Location

Address: 1141 PCR 917
City: Perryville
State: Missouri
ZIP Code: 63775-8347
Phone: (573) 846-6153

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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