Recktenwald, Kirstie R.

Recktenwald, Kirstie R. is an individual health care provider with primary practice located at 1409 Doctors Dr , West Plains MO 65775-4754. She recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as her primary health care specialty. Recktenwald, Kirstie R. can be contacted via phone (417) 255-1373.

Contact Information

Primary practice address
1409 Doctors Dr West Plains MO 65775-4754
Phone: (417) 255-1373
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 2013024398 Missouri

Profile Details

NPI number 1023441672
LBN Legal business name Recktenwald, Kirstie R.
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 19th, 2013
Last updated Sep 10th, 2020 - about 6 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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Identifiers

StateTypeNumberIssuer
All States NPI 1023441672 NPPES
Missouri MEDICAID 1023441672

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