Individual
MRS. KAITLIN MAREE DAMRON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
5203 CHIPPEWA ST STE 301, SAINT LOUIS, MO 63109-2356
(314) 481-5000
Mailing address
634 SIMMONS AVE, KIRKWOOD, MO 63122-2740
(314) 488-7018
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F04180415
MO
Other
Enumeration date
06/01/2018
Last updated
06/01/2018
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