Individual
KYLIE DANIELLE SHARP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
12401 OLIVE BLVD STE 103, CREVE COEUR, MO 63141-5448
(314) 439-0777
Mailing address
309 CLAYTON CROSSING PL APT A, ELLISVILLE, MO 63011-3364
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2018003108
MO
Other
Enumeration date
04/19/2018
Last updated
04/19/2018
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