Individual
KRISTEN WILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
3860 S LINDBERGH BLVD, STE. #108, SAINT LOUIS, MO 63127-1373
(314) 729-0077
Mailing address
5325 RIVER AIRE DR, GODFREY, IL 62035-1440
(618) 420-6439
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
2009022344
MO
Other
Enumeration date
08/20/2009
Last updated
08/20/2009
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