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Collin D Rardon, RN

Registered Nurse in Kirksville, MO. Individual provider (NPI-1).

NPI number1417697293
StatusActive
Last updated in NPPESSep 11, 2023

Details

NPI
1417697293
Entity type
Individual (NPI-1)
Name
Collin D Rardon
Credential
RN
Sex
Male
Sole proprietor
No
Enumeration date
Mar 30, 2022
Certification date
Sep 11, 2023
Last updated
Sep 11, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
163W00000X Registered Nurse2019027148MOYes

Practice location

900 E Laharpe St
Kirksville, MO 63501-4520

Phone 660-665-1962

Mailing address

1601 Old South River Rd
Saint Charles, MO 63303-4120

Phone 636-246-1210

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