KIMBERLY LYNN TRACY

SAINT LOUIS, MO
NPI1366002743
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0200X Nurse Practitioner, Pediatrics
(Licence: MO  2019018502)
Enumeration Date2019-06-18
Last Update Date2025-04-17
Business Address
Ms. KIMBERLY LYNN TRACY PNP
3737 N KINGSHIGHWAY BLVD STE 209
SAINT LOUIS, MO 63115-1736
Phone number: 314-261-5250
Mailing Address
Ms. KIMBERLY LYNN TRACY PNP
PO BOX 7412039
CHICAGO, IL 60674-2039
Phone number: 314-261-5250