| Contact Information | |
|---|---|
| First Name | Kayla |
| Last Name | Collins |
| Address | 511 west broadway |
| City | west plains |
| State | MO |
| Province | |
| Zip/Postal Code | 65775 |
| Country | United States |
| Home Phone | 417 - 2524137 |
| Work Phone | - |
| Fax | |
| xox19babydoll91xox@gmail.com | |
| Alternate Email | ladyk19_kat@yahoo.com |
| Website Address | |
| Gender | Female |
| Injury Information | |
| The injured person is | Child |
| Name of Injured | Charles - Klingler |
| Date of Injury | 06/28/13 |
| Type of Injury | Obstetric |