NPI 1144649591
Keneishia Elijah
Practice location
- Address
- 16720 Stone Creek CT, Florissant, MO 63034-1019
- Phone
- (314) 736-4275
- Fax
- (314) 260-6781
Registered specialties
In Home Supportive Care Agency
Primary
Registry record
- NPI
- 1144649591
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 14 Apr 2014
- Record last updated
- 14 Apr 2014
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.