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Mrs. Kelly Marie Pantazo, NP-C
Family Nurse Practitioner in Imperial, Missouri
NPI 1306326855

Kelly Marie Pantazo is a Family Nurse Practitioner based in Imperial, MO and is specialized in Family. Kelly Marie Pantazo practices in Imperial, MO and has the professional credentials of NP-C. The NPI Number for Kelly Marie Pantazo is 1306326855 and holds a License No. 2018024080 (Missouri).

The current practice location address for Kelly Marie Pantazo is 3647 Kneff Farm Xing, Imperial, MO and can be reached out via phone at 314-882-1978.

Location: 3647 Kneff Farm Xing, Imperial, MO, 63052-2887
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1306326855
Provider Name
Kelly Marie Pantazo
Credential
NP-C
Provider Entity Type
Individual
Gender
Female
Address
3647 Kneff Farm Xing, Imperial, MO, 63052-2887
Phone Number
314-882-1978
Fax Number
Provider Enumeration Date
08/15/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3647 Kneff Farm Xing
City
Imperial
State
Missouri
Zip
63052-2887
Phone Number
314-882-1978
Fax Number
person
Provider Business Mailing Address Details
Address
3647 Kneff Farm Xing
City
Imperial
State
Missouri
Zip
63052-2887
Phone Number
314-882-1978
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
2018024080 (Missouri)
Definition
Definition to come...
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