Individual
KIMBERLY CARR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
1816 MISTY MOSS DR, SAINT LOUIS, MO 63146-4210
(314) 255-5676
Mailing address
1816 MISTY MOSS DR, SAINT LOUIS, MO 63146-4210
(131) 425-5567
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2000153625
MO
Other
Enumeration date
02/06/2024
Last updated
02/06/2024
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