NPI 1023624871
Kimberly Renee' Carroll-Bevly, CNA
Practice location
- Address
- 3120 Wyoming St, Saint Louis, MO 63118-2130
- Phone
- (313) 297-6141
Registered specialties (2)
In Home Supportive Care Agency
Primary
Home Health Agency
Registry record
- NPI
- 1023624871
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 17 Sep 2020
- Record last updated
- 17 Sep 2020
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.