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Individual

KELLI MARIE DIX-ROSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
10279 BUSINESS 21, HILLSBORO, MO 63050-3598
(636) 677-6200
Mailing address
2246 CARLTON DR, FESTUS, MO 63028-3806
(636) 208-1378

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2024000069
MO

Other

Enumeration date
11/16/2023
Last updated
07/31/2025
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