Individual
ALLY MARIE KORT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1500 PARK AVE, SAINT LOUIS, MO 63104-3024
(314) 833-2700
Mailing address
117 W WASHINGTON ST APT 2C, KIRKSVILLE, MO 63501-2873
(785) 562-6235
Taxonomy
Speciality
Code
Description
License number
State
261QS1000X
Student Health Clinic/Center
Primary
—
—
Other
Enumeration date
05/11/2023
Last updated
05/11/2023
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