Individual
KALEIGH HALLIBURTON ADRIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1465 S. GRAND BLVD, ROOM 2717, ST. LOUIS, MO 63104
(314) 268-4070
(314) 268-4019
Mailing address
1465 S GRAND BLVD, SAINT LOUIS, MO 63104-1003
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2021014916
MO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/11/2018
Last updated
07/30/2021
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