Individual
DR. KURT KLOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4500 MEMORIAL DR, BELLEVILLE, IL 62226-5360
(618) 257-5879
(618) 257-6740
Mailing address
333 OAKWOOD AVE, WEBSTER GROVES, MO 63119-2519
(314) 249-5627
(314) 962-3696
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
036088207
IL
207P00000X
Emergency Medicine Physician
Primary
2016009160
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
930124097
RAILROAD MEDICARE
—
Enumeration date
02/08/2007
Last updated
09/09/2019
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