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Individual

KRISTEN A. TERRILL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
9930 WATSON RD, SAINT LOUIS, MO 63126-1827
(314) 965-5437
(314) 965-5439
Mailing address
PO BOX 23340, SAINT LOUIS, MO 63156-3340
(314) 965-5437
(314) 965-5439

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2005028570
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1202181
UHC
MO
01
206159
BCBS
MO
01
269390
GHP
MO
01
431383893TER
MERCY
MO
01
60927V3431
HEALTHCARE USA
MO
01
737944
HEALTHLINK
MO
01
7949752
AETNA
MO
Enumeration date
11/17/2005
Last updated
10/01/2012
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