Individual
KATHY LYNN ELLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11560 S HIGHWAY 68, SAINT JAMES, MO 65559-7190
(912) 667-1164
Mailing address
11560 S HIGHWAY 68, SAINT JAMES, MO 65559-7190
(912) 667-1164
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Enumeration date
09/08/2025
Last updated
09/08/2025
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