Individual
DR. KACI LYNE DURBIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
10010 KENNERLY RD, SAINT LOUIS, MO 63128-2106
(314) 525-1020
(314) 525-1387
Mailing address
10010 KENNERLY RD, SAINT LOUIS, MO 63128-2106
(314) 525-1020
(314) 525-1387
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
036129427
IL
207V00000X
Obstetrics & Gynecology Physician
Primary
2016016491
MO
Other
Enumeration date
04/01/2008
Last updated
03/14/2017
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