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Keneishia Elijah

NPI 1144649591 · on the registry since 2014 · sole proprietor

Practice

Address
16720 Stone Creek Ct
Florissant, MO 63034
Phone
(314) 736-4275
Fax
(314) 260-6781

Registry record

Primary taxonomy
253Z00000X
253Z00000X
Licence states on file
MO
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2014-04-14

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