Organization
JKLM MEDICAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANELLE SHEEN (PRESIDENT)
(314) 842-1441
Entity
Organization
Contact information
Practice address
11144 TESSON FERRY RD STE 100, SAINT LOUIS, MO 63123-6965
(314) 842-1441
(314) 842-1439
Mailing address
11144 TESSON FERRY RD STE 100, SAINT LOUIS, MO 63123-6965
(314) 842-1441
(314) 842-1439
Taxonomy
Speciality
Code
Description
License number
State
202K00000X
Phlebology Physician
Primary
—
—
Other
Enumeration date
06/04/2019
Last updated
06/04/2019
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