Individual
MS. KIMBERLY ANNE GARAVAGLIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-PC
Contact information
Practice address
9417 S BROADWAY, SAINT LOUIS, MO 63125-2009
(314) 833-4030
(314) 833-4031
Mailing address
5501 DELMAR BLVD STE B560, SAINT LOUIS, MO 63112-3084
(314) 833-4030
(314) 833-4031
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2017006434
MO
Other
Enumeration date
06/09/2017
Last updated
12/21/2023
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