Individual provider · Type 1 NPI
Kelly Ann Wilkens, AGNP
Nurse Practitioner · St. Louis, MO
Practice location
12700 Southfork Rd, Ste 200
St. Louis, MO 63128-3201
Fax (314) 543-5947
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 2015024611 (MO) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1841660792
Kelly Ann Wilkens, AGNP's National Provider Identifier is 1841660792, issued on Oct 5, 2015. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in St. Louis, MO. The record was last updated on Mar 14, 2017.