Individual
KIMBERLY HADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
7909 HIGHWAY N, DARDENNE PRAIRIE, MO 63368-7382
(636) 625-1560
Mailing address
10460 ANZEIGER AVE, FRONTENAC, MO 63131-2753
(641) 781-0168
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
10845
OH
363LF0000X
Family Nurse Practitioner
Primary
2011008644
MO
363LF0000X
Family Nurse Practitioner
A-107310
IA
Other
Enumeration date
08/06/2009
Last updated
08/31/2011
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