Individual
KIMBERLY L. LUU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
12349 DE PAUL DR STE 100, BRIDGETON, MO 63044-2512
(314) 291-7900
Mailing address
PO BOX 955534, SAINT LOUIS, MO 63195-5534
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2006030869
MO
363AS0400X
Surgical Physician Assistant
2006030869
MO
Other
Enumeration date
10/18/2006
Last updated
06/03/2025
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