KELLY D. EDWARDS FNP-BC NPI 1285880724

NPI Information

NPI: 1285880724
Provider Name: KELLY D. EDWARDS, FNP-BC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Organization: PHYSICIAN GROUPS LC

PECOS Registration: Yes

Address:
1110 HIGHLANDS PLAZA DR E STE 280
SAINT LOUIS, MO
ZIP 63110
Phone: (314) 286-2620
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Kelly D. Edwards, FNP-BC is a family nurse practitioner in Saint Louis, MO with 22 years of experience. Kelly D. Edwards, FNP-BC NPI is 1285880724. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1110 HIGHLANDS PLAZA DR E STE 280
SAINT LOUIS, MO
ZIP 63110-351
Phone: (314) 286-2620
Fax: (314) 286-2621

The NPI 1285880724 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/15/2008 and was last updated on 11/23/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363L00000X	Nurse Practitioner		116778	MISSOURI	No
2	363LF0000X	Nurse Practitioner	Family	116778	MISSOURI	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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