Individual
CONEISHA DEANDRA KYLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4144 LINDELL BLVD STE 135, SAINT LOUIS, MO 63108-2053
(314) 688-3173
Mailing address
4144 LINDELL BLVD STE 135, SAINT LOUIS, MO 63108-2053
(314) 240-5552
(314) 240-5562
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
10/12/2022
Last updated
10/12/2022
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