Individual provider · Type 1 NPI

Fannie Willms Kelly, RN

Registered Nurse · St. Louis, MO

NPI number 1902361264 Active

Practice location

4000 Jennings Station Rd
St. Louis, MO 63121-3323

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse Primary 163W00000X2000148600 (MO)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1902361264

Fannie Willms Kelly, RN's National Provider Identifier is 1902361264, issued on Jan 31, 2019. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in St. Louis, MO. The record was last updated on Jan 31, 2019.