Individual
KIM C IRELAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3009 N BALLAS RD, SUITE 100B, SAINT LOUIS, MO 63131-2322
(314) 432-1111
(314) 432-6308
Mailing address
3009 N BALLAS RD, SUITE 100B, SAINT LOUIS, MO 63131-2322
(314) 432-1111
(314) 432-6308
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
36174
MO
Other
Enumeration date
10/24/2005
Last updated
01/08/2014
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