Individual
KIMBERLY WAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
15740 S OUTER 40 RD, CHESTERFIELD, MO 63017-2004
(636) 237-4200
Mailing address
15740 S OUTER 40 RD, CHESTERFIELD, MO 63017-2004
(636) 237-4200
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2018032558
MO
Other
Enumeration date
12/04/2018
Last updated
12/04/2018
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