# KELSEY LONERGAN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1871126391
- **Gender:** F
- **Credential:** PMHNP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0200X | Pediatric Nurse Practitioner | 2021050418 | MO | — |
| 363LP0200X | Pediatric Nurse Practitioner | 209020614 | IL | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 2021050418 | MO | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 2023044236 | MO | Yes |

## Other

- **Enumeration date:** 02/13/2020
- **Last updated:** 11/08/2024
