Individual
MR. KELLY HINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ACNP
Contact information
Practice address
751 SAPPINGTON BRIDGE RD, SULLIVAN, MO 63080-2354
(573) 468-4186
Mailing address
1720 FRANKLIN DR, SAINT CLAIR, MO 63077-1025
(636) 633-6066
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
2016002422
MO
Other
Enumeration date
01/31/2016
Last updated
01/31/2016
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