Individual provider · Type 1 NPI
Carl Keith Callahan, CNP
Family Nurse Practitioner · St. Louis, MO
NPI number
1750755849
Active
Practice location
13131 Tesson Ferry Rd Ste 220
St. Louis, MO 63128-3887
Fax (314) 394-1377
Mailing address
13131 Tesson Ferry Rd, Ste 220
St. Louis, MO 63128-3887
Other practice locations
- 12660 Lamplighter Square Shpg Ctr, Suite J, St. Louis, MO 63128-2761 · (314) 394-1379
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 2015039591 (MO) |
Family Nurse Practitioner: Definition to come...
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About NPI 1750755849
Carl Keith Callahan, CNP's National Provider Identifier is 1750755849, issued on Nov 30, 2015. 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 Mar 17, 2018.