Individual provider · Type 1 NPI

Kelly Marie Rudroff, RN, MSN

Family Nurse Practitioner · St. Louis, MO

NPI number 1609216159 Active

Practice location

915 N Grand Blvd
St. Louis, MO 63106

Mailing address

2909 Shenandoah Ave
St. Louis, MO 63104-1739

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X2016042952 (MO)
Registered Nurse 163W00000X900243 (MS)

Family Nurse Practitioner: Definition to come...

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About NPI 1609216159

Kelly Marie Rudroff, RN, MSN's National Provider Identifier is 1609216159, issued on Jun 28, 2013. 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 Apr 14, 2018.