Adams-Derousse, Kayleb Micheal

Adams-Derousse, Kayleb Micheal is an individual health care provider with primary practice located at 1085 Maple St , Farmington MO 63640-1955. He recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as his primary health care specialty. Adams-Derousse, Kayleb Micheal can be contacted via phone (573) 756-5353.

Contact Information

Primary practice address
1085 Maple St Farmington MO 63640-1955
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1225685571
LBN Legal business name Adams-Derousse, Kayleb Micheal
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 21st, 2019
Last updated Aug 21st, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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