Mrs. Kyra J Tracy
Dental Hygienist
608 S Missouri St.
Waverly
, Missouri 64096
Mrs. Kyra J Tracy
Dental Hygienist
608 S Missouri St.
Waverly
, Missouri 64096
(660) 493-2796
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About
Features
Specialties
- Dental Hygienist
Languages spoken
- English
Location
First Address
- Mrs. Kyra J Tracy
- 608 S. Missouri St.
- Waverly, MO
- Zip : 64096
- Fax : (660) 493-2796
- Phone : (660) 493-2262
Second Address
- Mrs. Kyra J Tracy
- 608 S Missouri St.
- Waverly, MO
- Zip : 64096
- Fax : (660) 493-2796
- Phone : (660) 493-2262
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | 2013010347 | MO |
National Provider Identifier
| NPI | 1003295460 |
|---|---|
| Provider Name | Mrs. Kyra J Tracy |
| First Address | Waverly, MO 64096 |
| Second Address | Waverly, MO 64096 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 19/05/2015 |
| Last Update Date | 19/05/2015 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.