Individual
CHADD DANIEL HARKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3550 MCKELVEY RD, BRIDGETON, MO 63044-2527
(314) 741-0911
Mailing address
4837 S STATE ROUTE 159, GLEN CARBON, IL 62034-1905
(618) 581-8883
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
2024030417
MO
363LF0000X
Family Nurse Practitioner
Primary
209031333
IL
Other
Enumeration date
08/07/2024
Last updated
08/27/2025
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