Individual
KIERRA K CALICO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
12855 N 40 DR STE 375, SAINT LOUIS, MO 63141-8657
(314) 567-6071
(314) 453-9965
Mailing address
12855 N 40 DR STE 375, SAINT LOUIS, MO 63141-8657
(314) 567-6071
(314) 453-9965
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2022000769
MO
363LF0000X
Family Nurse Practitioner
209028348
IL
363LF0000X
Family Nurse Practitioner
53-80842-052
KS
Other
Enumeration date
01/10/2022
Last updated
10/03/2023
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