Individual
JOSEPHINE MAY KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
6 JUNGERMANN CIR, SUITE 203, SAINT PETERS, MO 63376-1621
(636) 939-4247
Mailing address
6 JUNGERMANN CIR, SUITE 203, SAINT PETERS, MO 63376-1621
(636) 939-4247
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
PYO1352
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
102105
VALUE OPTIONS
MO
01
—
113437
BLUE CROSS BLUE SHIELD
MO
Enumeration date
12/22/2006
Last updated
07/08/2007
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