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Individual

ALISA KINDIG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CWHNP

Contact information

Practice address
3844 S LINDBERGH BLVD STE 210, SAINT LOUIS, MO 63127-1387
(314) 525-0420
Mailing address
PO BOX 959354, SAINT LOUIS, MO 63195-1009
(314) 525-0420
(314) 996-7561

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2014005732
MO
363L00000X
Nurse Practitioner
F148416
IA
363LW0102X
Women's Health Nurse Practitioner
2014005732
MO
363LW0102X
Women's Health Nurse Practitioner
F148416
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1124440102
MO
01
2014005732
LICENSE
MO
01
PENDING
RR MCR
MO
05
PENDING
AR
Enumeration date
01/10/2014
Last updated
09/17/2025
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