Individual
KAYLA KREMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
102 LAURA K DR, O FALLON, MO 63366-3990
(636) 379-9633
Mailing address
102 LAURA K DR, O FALLON, MO 63366-3990
(636) 379-9633
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
048392
MO
Other
Enumeration date
10/16/2010
Last updated
10/16/2010
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