Individual
MISS MARY E KANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
6060 TELEGRAPH RD, SAINT LOUIS, MO 63129-4762
(314) 846-8800
Mailing address
600 S 6TH ST, SAINT CHARLES, MO 63301-2918
(636) 235-2272
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
—
—
Other
Enumeration date
02/05/2010
Last updated
02/05/2010
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