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Contact Information

KELLY L MUNSON
1 JEFFERSON BARRACKS DR
LEMAY, MO63125-4181
 Phone: 314-210-1909
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Spinal Cord Injury Medicine

2081P0004X 25 Physician/Physical Medicine and Rehabilitation
Indicates primary specialty

NPI Profile & details for KELLY L MUNSON · (Female)

NPI # 1609427178
Status Active
Credentials
Entity Individual
Enumeration date 09/25/2019
Last updated 05/25/2023 - About 3 years ago
Sole proprietor 1 Yes
Identifiers
  • MO License # 2010023603
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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