Individual
DR. BARTOLOME C KAIRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10004 KENNERLY RD, SUITE 115A, SAINT LOUIS, MO 63128-2141
(314) 843-4444
(314) 843-8599
Mailing address
10004 KENNERLY RD, SUITE 115A, SAINT LOUIS, MO 63128-2141
(314) 843-4444
(314) 843-8599
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
31482
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200739308
—
MO
01
—
31482
STATE LICENSE
MO
Enumeration date
09/07/2005
Last updated
05/10/2026
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