Kimberly Karen Vantellman

NPI #1972220440 in Bethany, Missouri

Provider Information

NPI Number: 1972220440
Entity Type: Individual
Name: Kimberly Karen Vantellman
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Driver
Enumeration Date: Oct 25, 2022
Last Updated: Oct 25, 2022

Practice Location

Address: 1204 S 15TH ST
City: Bethany
State: Missouri
ZIP Code: 64424-2418
Phone: (660) 868-1950

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Driver	172A00000X	Primary

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