Search › Missouri › 363LF0000X
Kelli Buntaine, FNP-C
NPI 1073279568 · on the registry since 2021 · sole proprietor
Practice
- Address
- 2991 Highway K
O Fallon, MO 63368 - Phone
- (636) 435-2333
- Fax
- (314) 626-8009
- Clinicians at this address
- 4
Additional practice sites
- 100 Medical Plz, Lake St Louis, MO
Registry record
- Primary taxonomy
- 363LF0000X
363LF0000X
- Also registered as
- 163WE0003X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-12-13
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri