Individual
KAYLA DIANE LEON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
615 S NEW BALLAS RD, SAINT LOUIS, MO 63141-8221
(314) 251-6486
Mailing address
370 N SAPPINGTON RD, SAINT LOUIS, MO 63122-4728
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2020042968
MO
Other
Enumeration date
08/02/2021
Last updated
01/09/2023
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