Organization
PALM VALLEY HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY DANIELLE NP (MANAGER)
(314) 800-6980
Entity
Organization
Contact information
Practice address
1095 NOONING TREE DR, CHESTERFIELD, MO 63017-2468
(314) 800-6980
Mailing address
1095 NOONING TREE DR, CHESTERFIELD, MO 63017-2468
(314) 800-6980
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
08/10/2020
Last updated
08/10/2020
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