Jerris Jean Pelts

Other Technician · Kennett, MO

Individual Active NPI

NPI number 1679718282

Practice location

1109 Jones St
Kennett, MO 63857-3824
Phone
(573) 888-6545
Fax
(573) 888-2369

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NPI record

NPI
1679718282
Entity type
Individual (Type 1)
Enumeration date
December 10, 2008
Last updated
December 10, 2008
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Other Technician Primary 247200000X — —

Mailing address

PO Box 470
Kennett, MO 63857-0470
Phone
(573) 888-6545
Fax
(573) 888-2369

About Jerris Pelts

Jerris Jean Pelts is a healthcare provider registered in the NPI registry with the primary taxonomy Other Technician (code 247200000X). The practice location is 1109 Jones St, Kennett, MO 63857-3824. The NPI number 1679718282 was assigned on December 10, 2008 and the record was last updated on December 10, 2008.

Frequently asked questions

What is the NPI number of Jerris Jean Pelts?

The NPI number is 1679718282.

What is the phone number of Jerris Pelts?

The phone number listed for the practice location is (573) 888-6545.

Where is Jerris Pelts located?

1109 Jones St, Kennett, MO 63857-3824.

What is the taxonomy code for Jerris Pelts?

The primary taxonomy code is 247200000X – Other Technician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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