Individual
TYLAR ELZABETH KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
7524 CHANDLER AVE, SAINT LOUIS, MO 63136-1206
(573) 587-5442
Mailing address
7524 CHANDLER AVE, SAINT LOUIS, MO 63136-1206
(573) 587-5442
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
2015025886
MO
Other
Enumeration date
02/19/2021
Last updated
02/19/2021
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