Individual
KELLIE M ODONNELL-STOCKTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
711 VETERANS MEMORIAL PKWY STE 300, SAINT CHARLES, MO 63303-2106
(636) 669-2350
Mailing address
PO BOX 955534, SAINT LOUIS, MO 63195-5534
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2000172033
MO
363LF0000X
Family Nurse Practitioner
2000172033
MO
Other
Enumeration date
06/20/2007
Last updated
10/11/2024
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