Individual
KELLI ANN GIBBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
625 S NEW BALLAS RD STE 2015, SAINT LOUIS, MO 63141-8253
(314) 251-1700
Mailing address
625 S NEW BALLAS RD STE 2015, SAINT LOUIS, MO 63141-8253
(314) 251-1700
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2019029862
MO
Other
Enumeration date
09/17/2019
Last updated
06/01/2022
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