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Individual

KELSEY LONERGAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PMHNP

Contact information

Practice address
5647 DELMAR BLVD., ST. LOUIS, MO 63112-2617
(314) 531-1770
(314) 531-3072
Mailing address
5701 DELMAR BLVD., ST. LOUIS, MO 63112-2617
(314) 367-7848
(314) 531-3072

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
2021050418
MO
363LP0200X
Pediatric Nurse Practitioner
209020614
IL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
2021050418
MO
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2023044236
MO

Other

Enumeration date
02/13/2020
Last updated
11/08/2024
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