Individual
PROF. KAYARA LACINE UPCHURCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
225 WEDGE DR, SAINT LOUIS, MO 63135-2242
(314) 701-0100
Mailing address
9729 PORTAGE DR, SAINT LOUIS, MO 63136-5311
(612) 369-7082
Taxonomy
Speciality
Code
Description
License number
State
2080P0006X
Developmental - Behavioral Pediatrics Physician
Primary
2001023410
MO
Other
Enumeration date
03/31/2021
Last updated
03/31/2021
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