Individual
KELLY LYNN MUNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1 JEFFERSON BARRACKS DR, LEMAY, MO 63125-4181
(314) 210-1909
Mailing address
1750 TUSCANY WAY, BRENTWOOD, TN 37027-0501
(314) 304-0379
(000) 000-0000
Taxonomy
Speciality
Code
Description
License number
State
2081P0004X
Spinal Cord Injury Medicine Physician
Primary
2010023603
MO
Other
Enumeration date
09/25/2019
Last updated
05/25/2023
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