Healthcare Provider Details

I. General information

NPI: 1114991205
Provider Name (Legal Business Name): KELLIE STEEN REED D.C.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/15/2006
Last Update Date: 06/06/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8999 ST CHARLES ROCK ROAD
ST LOUIS MO
63114
US

IV. Provider business mailing address

8999 ST CHARLES ROCK ROAD
ST LOUIS MO
63114
US

V. Phone/Fax

Practice location:
  • Phone: 314-428-3343
  • Fax: 314-428-3338
Mailing address:
  • Phone: 314-428-3343
  • Fax: 314-428-3338

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number005843
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: