Individual
KYLER PRISK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
615 S NEW BALLAS RD, SAINT LOUIS, MO 63141-8221
(314) 364-8318
Mailing address
3801 S NATIONAL AVE, SPRINGFIELD, MO 65807-5210
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2026008094
MO
363A00000X
Physician Assistant
Primary
—
MO
Other
Enumeration date
01/14/2026
Last updated
04/09/2026
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