Individual
KRISTINA RUDDLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
4455 TELEGRAPH RD STE 250, SAINT LOUIS, MO 63129-3354
(314) 416-4900
(314) 487-4669
Mailing address
136 COUNTRY CLUB PARC CT, IMPERIAL, MO 63052-3626
(314) 775-5396
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2016000080
MO
Other
Enumeration date
01/10/2016
Last updated
01/10/2016
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