Individual
ELYSHA M KACHEVAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11133 DUNN RD, SUITE 2335, SAINT LOUIS, MO 63136-6119
(314) 653-5007
(314) 653-4149
Mailing address
11133 DUNN RD, SUITE 2335, SAINT LOUIS, MO 63136-6119
(314) 653-5007
(314) 653-4149
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2013041945
MO
Other
Enumeration date
11/05/2013
Last updated
11/21/2013
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