Individual
KIMBERLY FAMOUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2780 SAINT CATHERINE ST, FLORISSANT, MO 63033-3626
(314) 276-7504
Mailing address
2780 SAINT CATHERINE ST, FLORISSANT, MO 63033-3626
(314) 276-7504
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
LC1405203
MO
Other
Enumeration date
11/21/2016
Last updated
11/21/2016
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