Individual
KIESHA THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2932 HICKORY ST, SAINT LOUIS, MO 63104-1817
(314) 828-0218
Mailing address
2932 HICKORY ST, SAINT LOUIS, MO 63104-1817
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
—
—
171M00000X
Case Manager/Care Coordinator
—
—
171W00000X
Contractor
Primary
—
—
174200000X
Meals Provider
—
—
175T00000X
Peer Specialist
—
—
332U00000X
Home Delivered Meals
—
—
Other
Enumeration date
09/16/2025
Last updated
09/19/2025
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