Individual
KELLY OHLMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
915 N GRAND BLVD, SAINT LOUIS, MO 63106-1621
(314) 799-7226
Mailing address
915 N GRAND BLVD, SAINT LOUIS, MO 63106-1621
(314) 799-7226
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
2013038945
MO
Other
Enumeration date
11/14/2013
Last updated
04/08/2024
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