Stromsdorfer, Kelly Lee

Stromsdorfer, Kelly Lee is an individual health care provider with primary practice located at 4921 Parkview Pl Div Neuro Aging And Dementia, Ste 6C, Saint Louis MO 63110-1032. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Primary Care, which is considered as her primary health care specialty. Stromsdorfer, Kelly Lee can be contacted via phone (314) 286-1967.

Contact Information

Primary practice address
4921 Parkview Pl Div Neuro Aging And Dementia, Ste 6C Saint Louis MO 63110-1032
Phone: (314) 286-1967
Fax: (314) 286-1985
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 2022042863 Missouri

Profile Details

NPI number 1225746910
LBN Legal business name Stromsdorfer, Kelly Lee
Credentials AGNP
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 10th, 2022
Last updated Jun 16th, 2026 - about 4 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 1225746910 NPPES
Missouri MEDICAID 420117441

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