Organization
JOSEPHINE KELLY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPHINE M KELLY (PSYCHOLOGIST)
(314) 503-5657
Entity
Organization
Contact information
Practice address
115 PIPER HILL DR, ST. PETERS, MO 63376
(314) 503-5657
Mailing address
115 PIPER HILL DR, SAINT PETERS, MO 63376-2589
(314) 503-5657
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
01352
MO
Other
Enumeration date
10/04/2007
Last updated
10/04/2007
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