Most Relevant Information
Provider Data
| NPI Number: | 1003237264 |
| Provider Name: | MYRA CALLAHAN |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 12/13/2013 |
| Last Updated: | 12/13/2013 |
Provider Practice Location
925 HIGHWAY V V
KENNETT
MO
638570071
Practice Location Phone/Fax
| Phone: | 5738885925 |
| Fax: |
Provider Mailing Location
925 HIGHWAY V V
KENNETT
MO
638570071
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |