Individual
KELLI ECKELKAMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4300 GRAVOIS RD, HOUSE SPRINGS, MO 63051-2304
(636) 321-0150
Mailing address
227 MAIN ST, FESTUS, MO 63028-1952
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
18828662
MO
374700000X
Technician
Primary
—
—
Other
Enumeration date
05/25/2021
Last updated
07/13/2021
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