Individual
DR. KIM PERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1500 PARK AVE, SAINT LOUIS, MO 63104-3024
(314) 898-1700
(314) 814-8542
Mailing address
1717 BIDDLE ST, SAINT LOUIS, MO 63106-3454
(314) 898-1700
(314) 814-8542
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2014018212
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2014018212
LICENSE
MO
Enumeration date
11/02/2007
Last updated
09/22/2015
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