Individual
DR. JOHN EDWARD KIERNAN JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
2401 S 11TH ST, SAINT LOUIS, MO 63104-4305
(314) 865-2450
(314) 865-2450
Mailing address
301 SHIRETON CT, SWANSEA, IL 62226-8908
(618) 257-2594
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
CE005650
MO
Other
Enumeration date
10/03/2006
Last updated
07/08/2007
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