Organization
EMPOWER HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KYLE M LONGO DC (OWNER)
(314) 778-3222
Entity
Organization
Contact information
Practice address
555 N NEW BALLAS RD, STE 220, SAINT LOUIS, MO 63141-6825
(314) 778-3222
(314) 787-4894
Mailing address
555 N NEW BALLAS RD, STE 220, SAINT LOUIS, MO 63141-6825
(314) 778-3222
(314) 787-4894
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
11/08/2016
Last updated
11/08/2016
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