Individual
MRS. KELSEY MARIE KINNEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A-GNP-C
Contact information
Practice address
355 N CHAMBER DR, FREDERICKTOWN, MO 63645-7947
(573) 561-2300
(573) 561-2302
Mailing address
355 N CHAMBER DR, FREDERICKTOWN, MO 63645-7947
(573) 561-2300
(573) 561-2302
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2017044039
MO
Other
Enumeration date
12/26/2017
Last updated
12/26/2017
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