Individual
MRS. ASHLEY KELL FREDERIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
607 S LINDBERGH BLVD, FRONTENAC, MO 63131-2734
(314) 991-5438
Mailing address
9332 PINE AVE, SAINT LOUIS, MO 63144-1008
(314) 803-4712
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2017024417
MO
Other
Enumeration date
07/31/2019
Last updated
07/31/2019
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