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Individual

MRS. KATHLEEN A MCNALLY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
100 MEDICAL PLZ, LAKE ST LOUIS, MO 63367-1366
(363) 755-6500
(636) 755-6505
Mailing address
22 COUNTRY LIFE DR, O FALLON, MO 63366-2710
(163) 638-5292

Taxonomy

Speciality
Code
Description
License number
State
163WR0400X
Rehabilitation Registered Nurse
Primary
116761
MO

Other

Enumeration date
01/30/2023
Last updated
01/30/2023
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