KALEN FARR (NPI# 1639794225) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1639794225 |
Entity Type | Individual |
Full Name | KALEN FARR |
Practice Address |
12303 Depaul Dr. Bridgeton MO 63044 |
Practice Telephone | 3143447545 |
Enumeration Date | 2020-06-10 |
Last Update Date | 2020-06-10 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
1830314 | MO | Podiatric Medicine & Surgery Service Providers |
Street Address |
12303 DEPAUL DR. |
City | BRIDGETON |
State | MO |
Zip Code | 63044 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346237112 | Ssm Health Care St. Louis | Skilled Nursing Facility | 12303 Depaul Dr., Bridgeton, MO 63044-2512 | 2005-10-05 |
1295281020 | Ramona Lynn Johnson | Social Worker | 12303 Depaul Dr., Bridgeton, MO 63044-2512 | 2016-08-31 |
1457807315 | Yvette Kristine Pelikan | Social Worker | 12303 Depaul Dr., Bridgeton, MO 63044 | 2016-08-31 |
1750705240 | Amber Mueller | Nurse Anesthetist, Certified Registered | 12303 Depaul Dr., Bridgeton, MO 63044-2512 | 2014-02-05 |
1699010744 | Todd S Moody | Social Worker | 12303 Depaul Dr., Bridgeton, MO 63044-0000 | 2012-11-30 |
1881953446 | Cassandra A Wichlenski | Social Worker | 12303 Depaul Dr., Bridgeton, MO 63044-0000 | 2012-05-16 |
1093087462 | Amanda M Marshall | Registered Nurse | 12303 Depaul Dr., Bridgeton, MO 63044-0000 | 2012-02-01 |
1720127012 | Michele L Bena | Emergency Medicine | 12303 Depaul Dr., Bridgeton, MO 63044 | 2007-02-05 |
1992750467 | Elaine A High | Pediatrics | 12303 Depaul Dr., Bridgeton, MO 63044 | 2006-05-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073150017 | Zoe Marie Wadsworth | Nurse Practitioner | 12255 Depaul Dr Suite 300, Bridgeton, MO 63044 | 2019-12-10 |
1609412451 | Beyond Better, Best Home Health Care Services, Limited Liability Corpo | In Home Supportive Care | 3430 Mckelvey Road Ste B, Bridgeton, MO 63044 | 2019-11-26 |
1275189078 | Delicate Angels Home Health LLC | Home Health | 11726 St. Charles Rock Road Suite G, Bridgeton, MO 63044 | 2019-08-16 |
1588210082 | Nicholas Huber | Physical Therapist | 12349 Depaul Dr., Ste. 110, Bridgeton, MO 63044 | 2019-08-12 |
1124688858 | Michelle Bassett | Registered Nurse | 11520 St. Charles Rock Rd., Suite 106, Bridgeton, MO 63044 | 2019-06-14 |
1336703883 | Elena A Barrow | Nurse Practitioner | 12255 Depaul Dr, Suite 260, Bridgeton, MO 63044 | 2019-04-30 |
1487123105 | Laura N Steiner | Registered Nurse | Gateway Pediatrics, Ltd, 12255 Depaul Drive, Suite 460 North Medical Building, Bridgeton, MO 63044 | 2018-11-26 |
1205310950 | Danielle Mathis | Nurse Practitioner | 3440 Depaul Lane Suite 201, Bridgeton, MO 63044 | 2018-09-19 |
1588163570 | Thoughts Out Loud Counseling, LLC | Social Worker | 11520 St. Charles Rock Road Suite 101, Bridgeton, MO 63044 | 2018-02-06 |
1912411430 | Breanna Victoria Hayes | Counselor | 3165 Mckevley Road, Suite 200, Bridgeton, MO 63044 | 2017-11-20 |
Find all providers in zip 63044 |
Taxonomy Code | 213ES0103X |
Grouping | Podiatric Medicine & Surgery Service Providers |
Classification | Podiatrist |
Specialization | Foot & Ankle Surgery |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588667497 | Maria Mcfarland | Podiatrist | 12255 De Paul Dr, Suite 500, Bridgeton, MO 63044-2510 | 2005-05-24 |
1598389389 | Kayla Christine Deblauw | Podiatrist | 12303 De Paul Dr, Bridgeton, MO 63044-2512 | 2020-06-08 |
1659995876 | Rekha Narayanan Kouri | Podiatrist | 12303 De Paul Dr, Bridgeton, MO 63044-2512 | 2020-06-03 |
1407417744 | Andy Archuleta | Podiatrist | 12303 De Paul Dr, Bridgeton, MO 63044-2512 | 2019-06-26 |
1669969390 | Joshua James Wolfe | Podiatrist | 12303 De Paul Dr, Bridgeton, MO 63044-2512 | 2018-04-18 |
1346773348 | Leslie Joseph | Podiatrist | 12303 Depaul Dr, Bridgeton, MO 63044-2727 | 2017-04-06 |
1558658146 | Hope Whitney Bante | Podiatrist | 12303 De Paul Dr, Bridgeton, MO 63044-2512 | 2011-07-01 |
1255597290 | Priya Ponnapula | Podiatrist | 12255 Depaul Drive, Suite 100, Bridgeton, MO 63044 | 2008-07-30 |
1093890055 | Christina M Hawthorne | Podiatrist | 12255 De Paul Dr, Ste 470, Bridgeton, MO 63044-2510 | 2006-10-26 |
1639280290 | Jeffrey S Boberg Dpm LLC | Podiatrist | 12255 De Paul Dr, Ste 100, Bridgeton, MO 63044-2510 | 2006-08-31 |
Find all providers in BRIDGETON |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.