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Organization
IVY ST LOUIS SC LLC
Active
Organization
IVY ST LOUIS SC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN CIRILLO (CHIEF FINANCIAL OFFICER)
(858) 925-5330
Entity
Organization
Contact information
Practice address
347 N LINDBERGH BLVD, CREVE COEUR, MO 63141-7811
(858) 925-5330
Mailing address
710 CENTRAL ST STE 79445, KANSAS CITY, MO 64105-1682
Taxonomy
Speciality
Code
Description
License number
State
261QA0006X
Ambulatory Fertility Facility
Primary
—
—
Other
Enumeration date
08/12/2026
Last updated
09/11/2026
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