Individual
MRS. KIMBERLY MANNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
2900 LEMAY FERRY RD, STE 104, SAINT LOUIS, MO 63125-3900
(314) 525-1887
(314) 525-1868
Mailing address
2900 LEMAY FERRY RD, STE 104, SAINT LOUIS, MO 63125-3900
(314) 525-1887
(314) 525-1868
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
2014015458
MO
Other
Enumeration date
07/09/2014
Last updated
03/14/2017
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