Individual
MS. KAYLENE AMANDA INAMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNP
Contact information
Practice address
10 BARNES WEST DR, DIV IM GERIATRICS, STE 200, SAINT LOUIS, MO 63141-6287
(314) 273-4374
(314) 983-0155
Mailing address
PO BOX 7412011, CHICAGO, IL 60674-2011
(314) 273-4374
(314) 983-0155
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
2017003908
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
420041791
—
MO
Enumeration date
06/27/2015
Last updated
04/17/2025
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