Individual provider · Type 1 NPI
Kimberly Karen Vantellman
Driver · Bethany, MO
NPI number
1972220440
Active
Practice location
1204 S 15th St
Bethany, MO 64424-2418
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Driver Primary | 172A00000X | None listed |
Driver: A person employed to operate a motor vehicle as a carrier of persons or property.
About NPI 1972220440
Kimberly Karen Vantellman's National Provider Identifier is 1972220440, issued on Oct 25, 2022. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Bethany, MO. The record was last updated on Oct 25, 2022.