MS. Kim Damaris York, NURSE PRACTITIONER
NPI #1205207768 in Lake St Louis, Missouri
Provider Information
- NPI Number
- 1205207768
- Entity Type
- Individual
- Name
- MS. Kim Damaris York, NURSE PRACTITIONER
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Nurse Practitioner - Adult Health
- Credential
- NURSE PRACTITIONER
- Enumeration Date
- Oct 9, 2015
- Last Updated
- Oct 9, 2015
Practice Location
- Address
- 70 CEDAR BLUFF DR APT 19
- City
- Lake St Louis
- State
- Missouri
- ZIP Code
- 63367-2809
- Phone
- (636) 887-2125
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Adult Health — Adult Health |
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