KIMBERLY DAWN AUTRY

SAINT LOUIS, MO
NPI1265009369
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LA2200X Nurse Practitioner, Adult Health
(Licence: MO  AG05210083)
Enumeration Date2021-06-07
Last Update Date2024-07-10
Business Address
KIMBERLY DAWN AUTRY AGNP-C
6406 WISE AVE
SAINT LOUIS, MO 63139-3315
Phone number: 314-636-4891
Mailing Address
KIMBERLY DAWN AUTRY AGNP-C
4301 FERNWOOD DR
HOUSE SPRINGS, MO 63051-1768
Phone number: 314-719-9974
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