Individual
DR. MARY E KLINGENSMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
216 S KINGSHIGHWAY BLVD, SAINT LOUIS, MO 63110-1026
(314) 454-5922
(314) 747-4871
Mailing address
660 S EUCLID AVE, C B 8109, SAINT LOUIS, MO 63110-1010
(314) 454-5922
(314) 747-4871
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
1999140361
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
205022601
—
MO
Enumeration date
07/14/2006
Last updated
01/24/2018
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