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Individual

KELECHI UCHE UDUMA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1 HAIRPIN DRIVE, EDWARDSVILLE, IL 62026-0001
(314) 745-4673
Mailing address
168 BEHLMANN MEADOWS WAY, FLORISSANT, MO 63034-2863
(314) 745-4673

Taxonomy

Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
041561779
IL
163WP0808X
Psychiatric/Mental Health Registered Nurse
2019030421
MO
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2025034856
MO

Other

Enumeration date
09/12/2024
Last updated
11/03/2025
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