Individual
KELSEY DETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
222 S WOODS MILL RD, SUITE 360 NORTH, CHESTERFIELD, MO 63017-3625
(314) 205-6788
Mailing address
5824 OAK BRANCH DR, SAINT LOUIS, MO 63128-1407
(314) 406-9519
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2016009379
MO
Other
Enumeration date
03/24/2016
Last updated
03/24/2016
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