Individual
DR. KIMBERLI ETTA MCCALLUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
231 W LOCKWOOD AVE, SUITE 201, SAINT LOUIS, MO 63119-2951
(314) 968-1900
(314) 968-1901
Mailing address
231 W LOCKWOOD AVE, SUITE 201, SAINT LOUIS, MO 63119-2951
(314) 968-1900
(314) 968-1901
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
R2K80
MO
Other
Enumeration date
11/16/2005
Last updated
10/29/2013
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