Individual
DR. SIRIPORN KULKAMTHORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6125 CLAYTON AVE STE 101, SAINT LOUIS, MO 63139-3266
(314) 768-3034
(314) 768-5607
Mailing address
6125 CLAYTON AVE STE 101, SAINT LOUIS, MO 63139-3266
(314) 768-3034
(314) 768-5607
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
35164
MO
Other
Enumeration date
11/07/2006
Last updated
07/08/2007
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