Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2081S0010X | Sports Medicine | 2018024434 | MO |
Y | 213ES0000X | Sports Medicine | 2018024434 | MO |
NPI | 1184162414 |
---|---|
Provider Name | Kirstin Arnold |
First Address | Sedalia, MO 65301-2183 |
Second Address | Sedalia, MO 65301-2105 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/02/2017 |
Last Update Date | 08/12/2019 |