Individual
STELLA KULKIN HEINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNP-C
Contact information
Practice address
1225 S GRAND BLVD, SAINT LOUIS, MO 63104-1016
(314) 977-4440
Mailing address
1008 S SPRING AVE, SAINT LOUIS, MO 63110-2520
(314) 977-5060
(314) 977-1664
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
2022046449
MO
Other
Enumeration date
01/26/2023
Last updated
07/19/2023
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