Individual
MARISSA RENEE KEHRWALD
Active
Individual
MARISSA RENEE KEHRWALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN-C, FNP-C
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
2020003620
MO
363LF0000X
Family Nurse Practitioner
Primary
2020003620
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1487285946
—
MO
Enumeration date
02/03/2020
Last updated
04/08/2021
Update your record
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