Houston, Kelly Marie

Houston, Kelly Marie is an individual health care provider with primary practice located at 3009 N Ballas Rd Ste 260C , Saint Louis MO 63131-2382. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Houston, Kelly Marie can be contacted via phone (314) 996-7940.

Contact Information

Primary practice address
3009 N Ballas Rd Ste 260C Saint Louis MO 63131-2382
Phone: (314) 996-7940
Fax: (314) 996-7945
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 2016023925 Missouri
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 2016023925 Missouri

Profile Details

NPI number 1679925366
LBN Legal business name Houston, Kelly Marie
Credentials ACNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 6th, 2016
Last updated Jun 4th, 2026 - about 5 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679925366 NPPES
Missouri MEDICAID 420077368

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