Individual
MR. KYLE LESTER OGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AGNP
Contact information
Practice address
12634 OLIVE BLVD, DEPT NEUROLOGICAL SURGERY, SAINT LOUIS, MO 63141-6337
(314) 362-3577
(314) 884-6004
Mailing address
PO BOX 7412011, CHICAGO, IL 60674-2011
(314) 362-3577
(314) 884-6004
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
2019028557
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
420078797
—
MO
Enumeration date
09/11/2019
Last updated
04/17/2025
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