Individual
CANDICE O'KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3335 S JEFFERSON AVE, SAINT LOUIS, MO 63118-3117
(314) 305-4030
Mailing address
3335 S JEFFERSON AVE, SAINT LOUIS, MO 63118-3117
(314) 305-4030
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
04/23/2019
Last updated
04/23/2019
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