Individual
MRS. SHARA KUEHL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
ONE CAMPUS DRIVE, WENTZVILLE, MO 63385
(636) 327-3800
Mailing address
1221 GRAND CANYON DR, WENTZVILLE, MO 63385-3463
(636) 332-2959
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2003013346
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
465707800
—
MO
Enumeration date
02/06/2014
Last updated
02/06/2014
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