Individual
KIM DENISE GREGORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP-BC
Contact information
Practice address
1027 BELLEVUE AVE, SUITE 107, SAINT LOUIS, MO 63117-1851
(314) 645-3743
(314) 647-7967
Mailing address
PO BOX 23340, SAINT LOUIS, MO 63156-3340
(314) 645-3743
(314) 647-7967
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
099537
MO
Other
Enumeration date
06/02/2009
Last updated
10/18/2010
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