Individual
MRS. KELLY DAWN REID
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1708 SPRUCE DR, HIGH RIDGE, MO 63049-1867
(636) 677-6744
Mailing address
1708 SPRUCE DR, HIGH RIDGE, MO 63049-1867
(636) 677-6744
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
130624
MO
163WC1400X
College Health Registered Nurse
130624
MO
Other
Enumeration date
01/30/2007
Last updated
09/11/2025
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