Individual provider · Type 1 NPI

Kimberly Michelle Daller, FNP-BC

Family Nurse Practitioner · Fenton, MO

NPI number 1164064440 Active

Practice location

1345 Smizer Mill Rd Ste 1100
Fenton, MO 63026-7305

Mailing address

PO Box 955534
St. Louis, MO 63195-7305

Other practice locations

  • 1722 Clarkson Rd, Chesterfield, MO 63017-4976 · (636) 206-2665

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X2019038326 (MO)

Family Nurse Practitioner: Definition to come...

12 other providers at this address

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About NPI 1164064440

Kimberly Michelle Daller, FNP-BC's National Provider Identifier is 1164064440, issued on Oct 8, 2019. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Fenton, MO. The record was last updated on Jun 18, 2024.