Healthcare Provider Details

I. General information

NPI: 1245173814
Provider Name (Legal Business Name): DANA ALSHEKHLEE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/09/2026
Last Update Date: 04/09/2026
Certification Date: 04/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 HOSPITAL DR
COLUMBIA MO
65212-1000
US

IV. Provider business mailing address

12959 WOODLARK LN
SAINT LOUIS MO
63131-1313
US

V. Phone/Fax

Practice location:
  • Phone: 573-817-3096
  • Fax:
Mailing address:
  • Phone: 314-750-6164
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: