Individual
KELLEY MARIE KIEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSN,RN,RNFA,CNOR
Contact information
Practice address
621 S NEW BALLAS RD STE 537A, SAINT LOUIS, MO 63141-8261
(314) 251-6990
(314) 251-6998
Mailing address
1417 SUMMERGATE PKWY, SAINT PETERS, MO 63303-6383
(618) 520-2106
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
2010008866
MO
Other
Enumeration date
07/08/2019
Last updated
07/08/2019
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