Individual
KEMBA CERONNE NOEL-LONDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MAT, ATC, PHD
Contact information
Practice address
3437 CAROLINE ST, SAINT LOUIS, MO 63104-1111
(314) 941-5001
Mailing address
721 LAMI ST, SAINT LOUIS, MO 63104-4212
(314) 941-5001
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2016022750
MO
Other
Enumeration date
04/27/2021
Last updated
04/27/2021
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