Individual
DR. KYLIE ANN LIMBACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1402 S GRAND BLVD, SAINT LOUIS, MO 63104-1004
(314) 617-3813
Mailing address
26241 HIGHWAY 24, WAVERLY, MO 64096-9167
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
111111
MO
Other
Enumeration date
04/03/2024
Last updated
04/03/2024
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