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Individual

MR. KYLE PATRICK MCLAFFERTY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA

Contact information

Practice address
11133 DUNN RD, DEPT ANESTHESIOLOGY, SAINT LOUIS, MO 63136-6163
(800) 862-9980
(314) 362-1185
Mailing address
660 S EUCLID AVE, CB 8054, SAINT LOUIS, MO 63110-1010
(800) 862-9980
(314) 362-1185

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
2018025495
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
220061872
MO
Enumeration date
07/16/2018
Last updated
11/15/2021
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