Individual
KIMBERLY BRUHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4970 OAKLAND AVE, SAINT LOUIS, MO 63110-1402
(314) 531-0330
Mailing address
4970 OAKLAND AVE, SAINT LOUIS, MO 63110-1402
(314) 531-0330
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2004006991
MO
Other
Enumeration date
06/15/2015
Last updated
06/15/2015
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