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Individual

JANET M KEIM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
3200 CHOUTEAU AVE, CASA DE SALUD, ST. LOUIS, MO 63103
(314) 762-1251
(314) 771-6848
Mailing address
4330 OLIVE ST, SAINT LOUIS, MO 63108-2622
(314) 533-4770
(314) 533-3226

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
2011022109
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0237409
ANCC CERTIF (ADULT NP)
01
0246073
ANCC CERTIF (GERONT NP)
Enumeration date
05/13/2007
Last updated
03/11/2014
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