Individual
MRS. GRETEL A MCKINLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP
Contact information
Practice address
510 S KINGSHIGHWAY BLVD, SAINT LOUIS, MO 63110-1016
(314) 362-7111
(314) 747-4189
Mailing address
510 S KINGSHIGHWAY BLVD, C B 8131, SAINT LOUIS, MO 63110-1016
(314) 362-7111
(314) 747-4189
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
200146601
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
427192109
—
MO
Enumeration date
07/17/2006
Last updated
07/16/2009
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