Individual
MISS KORNKAMOL HOLSAKUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1 CHILDRENS PL, SAINT LOUIS, MO 63110-1081
(314) 362-2184
Mailing address
18 S KINGSHIGHWAY BLVD APT 15S, SAINT LOUIS, MO 63108-1331
(314) 574-7970
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2024019900
MO
Other
Enumeration date
07/01/2024
Last updated
07/01/2024
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