Individual
KRISTEN LYNN MAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
2121 BARRETT STATION RD, SAINT LOUIS, MO 63131-1606
(314) 394-1923
Mailing address
12639 OLD TESSON RD STE 100, SAINT LOUIS, MO 63128-2711
(314) 849-0311
(314) 849-4423
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2016013313
MO
Other
Enumeration date
09/26/2016
Last updated
08/19/2025
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