Individual
EMILY CAROLYN KLOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
4280 MID AMERICA LN STE 30, SAINT LOUIS, MO 63129-1202
(314) 782-2600
(314) 782-2620
Mailing address
2663 RIDGE DR, HIGH RIDGE, MO 63049-2309
(314) 269-4506
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
2022013140
MO
363LF0000X
Family Nurse Practitioner
Primary
2022021664
MO
Other
Enumeration date
06/20/2022
Last updated
08/05/2022
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