Individual
JILL C. KIRKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1475 KISKER RD, SAINT CHARLES, MO 63304-8781
(636) 498-7800
Mailing address
1836 LACKLAND HILL PKWY, ATTN CREDENTIALING DEPT, SAINT LOUIS, MO 63146-3572
(314) 989-0300
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
2001016638
MO
Other
Enumeration date
02/15/2007
Last updated
07/08/2007
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