Individual
MRS. KELLEY ROEDIGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGNP
Contact information
Practice address
232 S WOODS MILL RD, CHESTERFIELD, MO 63017-3406
(214) 434-1500
Mailing address
1691 DEERGRASS DR, SAINT CHARLES, MO 63303-4629
(314) 814-1881
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
AG06180006
MO
Other
Enumeration date
06/11/2018
Last updated
06/11/2018
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