Individual
ANNA KONOPELKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
12401 OLIVE BLVD STE 103, CREVE COEUR, MO 63141-5448
(314) 439-0777
Mailing address
12401 OLIVE BLVD STE 103, CREVE COEUR, MO 63141-5448
(314) 439-0777
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2023035399
MO
111NN1001X
Nutrition Chiropractor
2023035399
MO
111NP0017X
Pediatric Chiropractor
2023035399
MO
Other
Enumeration date
09/19/2023
Last updated
09/19/2023
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