Individual
KELEI MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
906 EICHELBERGER ST, SAINT LOUIS, MO 63111-1603
(314) 306-3438
Mailing address
8741 ACACIA DR, SAINT LOUIS, MO 63136-3739
(314) 306-3438
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
2012040149
MO
Other
Enumeration date
09/14/2020
Last updated
09/14/2020
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