Individual
CARL KEITH CALLAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CNP
Contact information
Practice address
13131 TESSON FERRY RD STE 220, SAINT LOUIS, MO 63128-3887
(314) 394-1379
(314) 394-1377
Mailing address
13131 TESSON FERRY RD, STE 220, SAINT LOUIS, MO 63128-3887
(314) 394-1379
(314) 394-1377
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2015039591
MO
Other
Enumeration date
11/30/2015
Last updated
03/17/2018
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