Individual
DR. KYLE ANIELLO LEBLANC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
5809 S LINDBERGH BLVD STE B, SAINT LOUIS, MO 63123-6948
(314) 416-8334
(314) 416-1199
Mailing address
5809 S LINDBERGH BLVD STE B, SAINT LOUIS, MO 63123-6948
(314) 416-8334
(314) 416-1199
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2003017106
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
165003583098
HUMANA PROVIDER ID
MO
01
—
182555
PROVIDER ID
MO
Enumeration date
12/18/2006
Last updated
07/08/2007
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