Individual
DR. KIM HUNG LISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1 CHILDRENS PL, DIV PED GASTRO, HEPATOLOGY AND NUTRITION, SAINT LOUIS, MO 63110-1002
(314) 454-6173
(844) 231-8912
Mailing address
PO BOX 7412011, CHICAGO, IL 60674-2011
(314) 454-6173
(844) 231-8912
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
2014007664
MO
2080P0206X
Pediatric Gastroenterology Physician
2014007664
MO
2080T0004X
Pediatric Transplant Hepatology Physician
Primary
2014007664
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200055407
—
MO
Enumeration date
07/20/2011
Last updated
04/17/2025
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