Individual
KATELYN RHEA COLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
1390 US HIGHWAY 61 STE N1500, FESTUS, MO 63028-4137
(636) 937-8675
Mailing address
1 CARDINAL WAY APT 1010, SAINT LOUIS, MO 63102-2812
(217) 741-7992
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2020013110
MO
363LF0000X
Family Nurse Practitioner
209021289
IL
Other
Enumeration date
05/18/2020
Last updated
08/09/2021
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