Organization
MERCY HOSPITAL SOUTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHERYL MATEJKA (CFO EAST COMMUNITIES & SFO)
(314) 251-1958
Entity
Organization
Contact information
Practice address
10010 KENNERLY RD, SAINT LOUIS, MO 63128-2106
(314) 525-4859
Mailing address
10010 KENNERLY ROAD, ST LOUIS, MO 63128
(314) 525-4859
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
150546
MO
Other
Enumeration date
01/08/2007
Last updated
12/24/2018
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