Individual
MR. JACOB KYLE SCHMIDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ACNP
Contact information
Practice address
10010 KENNERLY RD, SAINT LOUIS, MO 63128-2106
(314) 525-4137
Mailing address
10010 KENNERLY RD, SAINT LOUIS, MO 63128-2106
(314) 525-4137
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
2024035228
MO
Other
Enumeration date
01/08/2024
Last updated
05/06/2025
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