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General NPI Number Information
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NPI Number | 1578582441
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Entity Type | Individual
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Provider Name | CYNTHIA L KUES ANP
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Gender | Female
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Dates
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Enumeration Date | 07/19/2006
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Last Update Date | 09/22/2025
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Provider Practice Location Address
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Address Line | 4600 MEMORIAL DR STE W1
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City | BELLEVILLE
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State | IL
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Zip | 62226-5359
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Country | US
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Telephone | 618-233-3066
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Fax |
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Provider Business Mailing Address
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Address Line | 660 MASON RIDGE CENTER DR STE 300
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City | SAINT LOUIS
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State | MO
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Zip | 63141-8512
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Country | US
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Telephone | 314-448-3791
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 209003890
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License Number State | IL
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