Kieara Bond, RN
Individual provider Active NPI Registered Nurse · Lake Saint Louis, MO
NPI 1124820402 · NPPES record last updated Mar 26, 2025
Key facts
- NPI
- 1124820402
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 2024043001 (MO)
- Practice address
- 39201 Pomme de Terre Dr
Lake Saint Louis, MO 63367-2230 - Phone
- (314) 793-0101
- NPI assigned
- Mar 26, 2025
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2024043001 | MO | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 2024043001 | MO | Yes |
Addresses
Primary practice location
39201 Pomme de Terre Dr
Lake Saint Louis, MO 63367-2230
Mailing address
39201 Pomme de Terre Dr
Lake Saint Louis, MO 63367-2230
Phone (314) 793-0101
Other providers in Lake Saint Louis, MO
- Arch Kidney and Hypertension LLC
- Eve Weindell Barnoski
- James Baxter
- Ross Matthew Belew
- Donald Beussink
- Borello Orthodontics
- Blake Borello
- Brain to Behavior LLC
- Michelle Lynn Breneman
- Bright Horizons Pediatric Therapy LLC
All providers in Lake Saint Louis, MO · Registered Nurse in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 26, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.