KENNETT RADIOLOGY ASSOCIATES
Radiology at 1 St, Caruth, MO

License number
Missouri R2G95
Category
Radiology
Type
Diagnostic Radiology
Owner
Name: MRS. MICHELLE BEACHAM
Title: CONTROLLER
Phone: (573) 888-8424
Address
Address
1301 1St St, Caruth, MO 63857
National Provider ID: 1083878284
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Kennett Radiology Associates

1301 1 St, Kennett, MO 63857

Status:
Inactive
Registration:
Aug 8, 2008
Inactive since:
Aug 8, 2013
State ID:
X00912479
Business type:
Fictitious Name

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