Individual provider · Type 1 NPI
Kelley Marie Love
Adult Health Nurse Practitioner · St. Peters, MO
NPI number
1265397665
Active
Practice location
150 Entrance Way Ste 100
St. Peters, MO 63376-1645
Fax (314) 820-6699
Mailing address
4921 Parkview Pl
St. Louis, MO 63110-1032
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | 2025052824 (MO) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1265397665
Kelley Marie Love's National Provider Identifier is 1265397665, issued on Dec 17, 2025. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in St. Peters, MO. The record was last updated on Apr 20, 2026.