Individual
MS. KAY RABBITT PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
615 S NEW BALLAS RD, SAINT LOUIS, MO 63141-8221
(314) 251-4847
(314) 251-5992
Mailing address
9888 OLD WARSON RD, SAINT LOUIS, MO 63124-1068
(314) 251-4847
(314) 251-5992
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
1053
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
152209
BLUE CHOICE-HMO
MO
05
—
33336410
—
MO
01
—
3923C1
BLUE CROSS BLUE SHEILD-PP
MO
01
—
3923C2
BCBS-PPO WASHINGTON
MO
Enumeration date
11/29/2005
Last updated
11/01/2018
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