Individual
DR. KEITH HUNTER NUNNELEE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
222 S WOODS MILL RD, SUITE 400 NORTH, CHESTERFIELD, MO 63017-3625
(314) 878-5557
(314) 878-7661
Mailing address
222 S WOODS MILL RD, SUITE 400 NORTH, CHESTERFIELD, MO 63017-3625
(314) 878-5557
(314) 878-7661
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
R6367
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3510
BLUE CROSS BLUE SHIELD
MO
Enumeration date
09/16/2005
Last updated
07/08/2007
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