Organization
PROFESSIONAL INTERNAL MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH J RYBICKI MD (PHYSICIAN)
(314) 367-4800
Entity
Organization
Contact information
Practice address
4625 LINDELL BLVD, SUITE 507, SAINT LOUIS, MO 63108-3725
(314) 367-4800
(314) 367-6400
Mailing address
4625 LINDELL BLVD, SUITE 507, SAINT LOUIS, MO 63108-3725
(314) 367-4800
(314) 367-6400
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
36902
MO
Other
Enumeration date
05/11/2011
Last updated
05/11/2011
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