Individual
KIMBERLY ANNE EISENSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2707 W EDGEWOOD DR STE 102, JEFFERSON CITY, MO 65109-5886
(573) 761-1830
(573) 761-1829
Mailing address
PO BOX 843966, KANSAS CITY, MO 64184-3966
(573) 884-3300
(573) 884-0943
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
2017005188
MO
207NP0225X
Pediatric Dermatology Physician
Primary
2017005188
MO
Other
Enumeration date
04/28/2012
Last updated
09/14/2022
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