Individual
KELCY OESTERREICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1345 SMIZER MILL RD STE 1100, FENTON, MO 63026-7305
(636) 496-5023
Mailing address
PO BOX 955534, SAINT LOUIS, MO 63195-5534
(573) 581-8590
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2019035094
MO
Other
Enumeration date
08/26/2019
Last updated
12/06/2021
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