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Amanda Kelly
NPI 1386084168 · on the registry since 2013
Practice
- Address
- 9901 Manchester Rd
Saint Louis, MO 63122 - Phone
- (314) 919-0611
- Organisation at this address
- Dierbergs Markets Inc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 183500000X
183500000X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2013-06-26
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri