KIMBERLY VANTELLMAN

Driver

Active Individual
NPI: 1972220440

Practice Address

1204 S 15TH ST
Bethany, MO 64424

Phone: (660) 868-1950

Specialties

Specialty Code Primary License
Driver 172A00000X Yes -

Frequently Asked Questions

NPI 1972220440 is the National Provider Identifier for KIMBERLY VANTELLMAN, a Driver provider located in Bethany, MO. This NPI was enumerated on October 25, 2022.
KIMBERLY VANTELLMAN practices at 1204 S 15TH ST, Bethany, MO 64424.

Quick Facts

NPI
1972220440
Type
Individual
Enumerated
Oct 25, 2022
Last Updated
Oct 25, 2022

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