Individual
KYLE PALMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
16 HAMPTON VILLAGE PLZ, SUITE 229, SAINT LOUIS, MO 63109-2128
(314) 353-1851
Mailing address
16 HAMPTON VILLAGE PLZ, SUITE 229, SAINT LOUIS, MO 63109-2128
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2012018574
MO
Other
Enumeration date
04/03/2013
Last updated
04/03/2013
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