Organization
KIDNEXXIONS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMILY KORTE-STROFF OTR/L (PRESIDENT/OWNER)
(618) 219-6501
Entity
Organization
Contact information
Practice address
4271 CASTLEMAN AVE, SAINT LOUIS, MO 63110-3502
(618) 219-6501
Mailing address
4271 CASTLEMAN AVE, SAINT LOUIS, MO 63110-3502
(618) 219-6501
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
005449
MO
251S00000X
Community/Behavioral Health Agency
005449
MO
252Y00000X
Early Intervention Provider Agency
005449
MO
Other
Enumeration date
09/14/2016
Last updated
09/14/2016
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