Individual
MYA KEMP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4674 LEE AVE, SAINT LOUIS, MO 63115-2400
(314) 437-5888
Mailing address
4674 LEE AVE, SAINT LOUIS, MO 63115-2400
(314) 437-5888
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
150008
MO
376J00000X
Homemaker
—
—
Other
Enumeration date
07/21/2025
Last updated
08/12/2025
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