Individual provider · Type 1 NPI
Kelly Marie Harres, PNP
Pediatric Nurse Practitioner · St. Louis, MO
NPI number
1255787602
Active
Practice location
1 Childrens Pl, Dept Ophthalmology, Ste 3110
St. Louis, MO 63110-1002
Fax (866) 936-4559
Mailing address
PO Box 7412011
Chicago, IL 60674-2011
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | 2019017407 (MO) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1255787602
Kelly Marie Harres, PNP's National Provider Identifier is 1255787602, issued on May 4, 2016. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in St. Louis, MO. The record was last updated on Aug 19, 2026.