Individual
KRISTEN ANN SCULLIN-HARTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4921 PARKVIEW PL STE 5G, SAINT LOUIS, MO 63110-1032
(314) 747-1970
(314) 747-1972
Mailing address
4921 PARKVIEW PL # 5G, SAINT LOUIS, MO 63110-1032
(314) 747-1970
(314) 747-1972
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
107213
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110229387
RAILROAD MEDICARE
MO
Enumeration date
03/09/2006
Last updated
10/17/2019
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