Individual
SUZANNE KAELBLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
602 COLEBROOK DR, SAINT LOUIS, MO 63119-4114
(314) 303-2081
Mailing address
602 COLEBROOK DR, SAINT LOUIS, MO 63119-4114
(314) 303-2081
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
2009017666
MO
Other
Enumeration date
09/29/2016
Last updated
09/29/2016
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