Individual
MS. KACI BRIANN HALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1001 BOWLES AVE, FENTON, MO 63026
(314) 996-8670
(314) 747-2417
Mailing address
PO BOX 955534, SAINT LOUIS, MO 63195-5534
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2014034687
MO
Other
Enumeration date
09/15/2017
Last updated
10/22/2020
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