Individual
KAITLIN A FARRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
1008 S SPRING AVE, SAINT LOUIS, MO 63110-2520
(314) 977-3530
(314) 977-1630
Mailing address
1008 S SPRING AVENUE, SLUCARE DEPARTMENT OF SURGERY, ST. LOUIS, MO 63110
(314) 977-3530
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
2018028876
MO
Other
Enumeration date
06/05/2012
Last updated
02/19/2021
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