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Individual

MS. KELLY N UDING

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
1620 HIGHWAY Z, PEVELY, MO 63070-1511
(636) 224-7511
(636) 224-7512
Mailing address
1620 HIGHWAY Z, PEVELY, MO 63070-1511
(636) 224-7511
(636) 224-7512

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2001032800
MO

Other

Enumeration date
08/11/2006
Last updated
11/22/2016
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