-- KIMBERLY BRAXTON --
Individual Provider (NPI-1)
Active
Registered Nurse
Provider Information
- NPI Number
1972921195- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 915 N GRAND BLVD, SAINT LOUIS, MO, 631061621
- Phone
- (314) 652-4100
Specialties & Taxonomies
Registered Nurse
Primary License: MO #2012038030