Individual
KRISTIN LEIGH WALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHNP
Contact information
Practice address
10004 KENNERLY RD, SAINT LOUIS, MO 63128-2141
(314) 525-4100
Mailing address
10004 KENNERLY RD STE 230A, SAINT LOUIS, MO 63128-2181
(314) 525-4220
Taxonomy
Speciality
Code
Description
License number
State
163WX0003X
Inpatient Obstetric Registered Nurse
2014007727
MO
363LW0102X
Women's Health Nurse Practitioner
Primary
2018030311
MO
Other
Enumeration date
05/18/2018
Last updated
03/09/2021
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