Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LW0102X | Nurse Practitioner - Women's Health | 2021010398 | MO |
NPI | 1043882590 |
---|---|
Provider Name | Kelsey Hoehn |
First Address | Saint Louis, MO 63109-3223 |
Second Address | Saint Louis, MO 63108-2810 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/07/2021 |
Last Update Date | 16/07/2021 |