Individual
DR. JENNIFER DAWN KRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6828 STATE ROUTE 162, MARYVILLE, IL 62062-8500
(618) 288-5084
(618) 288-8045
Mailing address
10777 SUNSET OFFICE DR, SUITE 310, SAINT LOUIS, MO 63127-1019
(314) 822-5900
(314) 822-5919
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2005034034
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036181252
—
IL
Enumeration date
07/20/2007
Last updated
09/03/2009
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