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Individual

DR. KALLIE LOUISE HARRISON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
615 S NEW BALLAS RD STE 1400, SAINT LOUIS, MO 63141-8221
(314) 251-7498
Mailing address
615 S NEW BALLAS RD STE 1400, SAINT LOUIS, MO 63141-8221
(314) 251-7498

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
036-137005
IL
207V00000X
Obstetrics & Gynecology Physician
Primary
2011016845
MO

Other

Enumeration date
05/09/2011
Last updated
07/16/2021
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