# VISIONARY VACCINATION & HEALTH SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174191605
- **Authorized official:** MR. KEVIN A HUSS (DIRECTOR OF OPERATIOINS)
- **Authorized official phone:** (636) 493-0219

## Contact information

- **Practice address:** 2757 PLAZA WAY, SAINT CHARLES, MO 63303-3533
- **Practice address phone:** (636) 493-0219
- **Mailing address:** 2757 PLAZA WAY, SAINT CHARLES, MO 63303-3533
- **Mailing address phone:** (636) 493-0219

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 06/11/2021
- **Last updated:** 07/23/2021