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Individual

MRS. KELLY CONSTABLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S.

Contact information

Practice address
226 S WOODS MILL RD, SUITE 37W, CHESTERFIELD, MO 63017-3662
(314) 523-5395
(314) 523-5795
Mailing address
PO BOX 14369, SAINT LOUIS, MO 63178-4369
(314) 523-5300
(314) 523-5795

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
2007001604
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
337799407
MO
Enumeration date
02/20/2007
Last updated
03/17/2025
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