Grace Kelley

NPI #1982429841 in Saint Clair, Missouri

Provider Information

NPI Number: 1982429841
Entity Type: Individual
Name: Grace Kelley
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Nov 18, 2024
Last Updated: Nov 18, 2024

Practice Location

Address: 420 SAINT CLAIR ST
City: Saint Clair
State: Missouri
ZIP Code: 63077-1454
Phone: (636) 221-8326

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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