Individual
FELICIA R BENTLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
247 DUNN RD, FLORISSANT, MO 63031-7928
(314) 438-0700
(314) 438-0737
Mailing address
PO BOX 1449, MARYLAND HEIGHTS, MO 63043-0449
(314) 438-0700
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
036107319
IL
207RN0300X
Nephrology Physician
Primary
2002015961
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
205933203
—
MO
Enumeration date
02/02/2006
Last updated
08/09/2023
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