Individual provider · Type 1 NPI

Kialy Ann Mudd, FNP-C

Family Nurse Practitioner · St. Louis, MO

NPI number 1063015329 Active

Practice location

4280 Mid America Ln Ste 30
St. Louis, MO 63129-1202

Call (314) 782-2600 Map

Mailing address

326 Summer Top Ln
Fenton, MO 63026-3946

Specialties and licenses

Taxonomy	Code	License
Family Nurse Practitioner Primary	363LF0000X	2020019127 (MO)

Family Nurse Practitioner: Definition to come...

2 other providers at this address

Alexander John Mazzaferro, MDFamily Medicine Physician St. Louis, MO NPI 1982017786
Emily Carolyn Klos, FNPFamily Nurse Practitioner St. Louis, MO NPI 1528799798

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About NPI 1063015329

Kialy Ann Mudd, FNP-C's National Provider Identifier is 1063015329, issued on Nov 19, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in St. Louis, MO. The record was last updated on Nov 19, 2020.