Individual
KENDRA MAXEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2865 NETHERTON DR, SAINT LOUIS, MO 63136-4674
(314) 653-1600
Mailing address
PO BOX 419161, CREVE COEUR, MO 63141-9161
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2023025910
MO
Other
Enumeration date
09/11/2023
Last updated
10/02/2023
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