Individual
DARION DEJUAN KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BACHELORS OF SCIENCE
Contact information
Practice address
1430 OLIVE ST STE 500, SAINT LOUIS, MO 63103-2377
(314) 277-7766
Mailing address
1430 OLIVE ST STE 500, SAINT LOUIS, MO 63103-2377
(314) 277-7766
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/13/2017
Last updated
07/21/2022
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