Individual
KAYLA HUSSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1015 BOWLES AVE, FENTON, MO 63026-2394
(314) 704-0718
Mailing address
6410 MARDEL AVE, SAINT LOUIS, MO 63109-1356
(314) 704-0718
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
2014022753
MO
Other
Enumeration date
06/06/2024
Last updated
06/06/2024
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