Individual
KOSTANTIA D. FELLHAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
9105 KIT DR, SAINT LOUIS, MO 63123-5636
(314) 249-0325
Mailing address
9105 KIT DR, SAINT LOUIS, MO 63123-5636
(314) 249-0325
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
122558
MO
Other
Enumeration date
07/02/2009
Last updated
07/02/2009
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