| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1518256635 | KELLY | DEBBIE | L | 840 PASSOVER RD | OSAGE BEACH | MO | 650652834 | |
| 1396415113 | MALYA | TASIANA | 840 PASSOVER RD | OSAGE BEACH | MO | 650652834 | ||
| 1255432027 | MUNOZ | CESAR | E | 840 PASSOVER RD | OSAGE BEACH | MO | 650652834 |