Individual
DR. CELSIUS-KIT JARA GESMUNDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1150 GRAHAM RD STE 101, FLORISSANT, MO 63031-8077
(314) 206-3900
Mailing address
1150 GRAHAM RD STE 101, FLORISSANT, MO 63031-8077
(314) 206-3900
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
2019009917
MO
2084P0800X
Psychiatry Physician
50187
AZ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/17/2011
Last updated
05/21/2019
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