Individual
KELLEY RUNDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-CNP PMHNP-BC
Contact information
Practice address
2650 OLIVE ST, SAINT LOUIS, MO 63103-1489
(314) 802-2635
Mailing address
113 LANSING AVE, MARYLAND HEIGHTS, MO 63043-2658
(314) 967-9396
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2023009456
MO
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
209027488
IL
Other
Enumeration date
05/29/2023
Last updated
03/10/2026
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