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Individual

MRS. SARAH E KESSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSN, ANP

Contact information

Practice address
12855 NORTH FORTY DRIVE, SUITE 125, ST. LOUIS, MO 63141
(314) 966-0111
(314) 966-1023
Mailing address
12813 FLUSHING MEADOWS DRIVE, SUITE 210, ST. LOUIS, MO 63141
(314) 966-0111
(314) 966-1023

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
127828
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000080957
MEDICARE
MO
01
151725
BCBS
MO
01
466634
HEALTHLINK
MO
01
P00603957
MEDICARE RAILROAD
MO
Enumeration date
05/22/2006
Last updated
10/21/2011
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