NPI Profile for KELLY M RUDROFF in SAINT LOUIS, MO.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Family |
363LF0000X | 50 | Nurse Practitioner | |
Registered Nurse |
163W00000X |
| NPI # | 1609216159 |
|
| Status | Active | |
| Credentials | RN, MSN | |
| Entity | Individual | |
| Enumeration date | 06/28/2013 | |
| Last updated | 04/14/2018 - About 8 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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KELLY M RUDROFF
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