Most Relevant Information
Provider Data
| NPI Number: | 1003491614 |
| Provider Name: | KELLI A CROWE FNP-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | 2021004381 |
Most Important Dates
| Enumeration Date: | 03/15/2021 |
| Last Updated: | 08/22/2023 |
Provider Practice Location
1702 N KINGSHIGHWAY ST
CAPE GIRARDEAU
MO
637012122
Practice Location Phone/Fax
| Phone: | 5733392000 |
| Fax: | 5733391876 |
Provider Mailing Location
PO BOX 801143
KANSAS CITY
MO
641801143
Provider Mailing Phone/Fax
| Phone: | 5733315583 |
| Fax: | 5733315079 |