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1447395249 NPI number — KELLY CONSTABLE M.S.

NPI Number: 1447395249
Health Care Provider/Practitioner: KELLY CONSTABLE M.S.

Information about “1447395249” NPI (KELLY CONSTABLE M.S.) exists in 1447395249 in HTML format HTML  |  1447395249 in plain Text format TXT  |  1447395249 in PDF (Portable Document Format) PDF  |  1447395249 in an XML format XML  formats.

NPI Number : 1447395249 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1447395249",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "CONSTABLE",
    "FirstName": "KELLY",
    "MiddleName": null,
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "M.S.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "JENNINGS",
    "OtherFirstName": "KELLY",
    "OtherMiddleName": null,
    "OtherNamePrefix": "MISS",
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "PO BOX 14369",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SAINT LOUIS",
    "MailingAddressStateName": "MO",
    "MailingAddressPostalCode": "63178-4369",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "314-523-5300",
    "MailingAddressFaxNumber": "314-523-5795",
    "FirstLinePracticeLocationAddress": "226 S WOODS MILL RD",
    "SecondLinePracticeLocationAddress": "SUITE 37W",
    "PracticeLocationAddressCityName": "CHESTERFIELD",
    "PracticeLocationAddressStateName": "MO",
    "PracticeLocationAddressPostalCode": "63017-3662",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "314-523-5395",
    "PracticeLocationAddressFaxNumber": "314-523-5795",
    "EnumerationDate": "02/20/2007",
    "LastUpdateDate": "03/17/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "231H00000X",
        "TaxonomyName": "Audiologist",
        "LicenseNumber": "2007001604",
        "LicenseNumberStateCode": "MO",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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