Individual
DR. KRISTEN INGRID BRUNO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
706 N MAIN ST, O FALLON, MO 63366-1743
(314) 258-5941
(314) 279-0255
Mailing address
1181 LOCKETT RD, DES PERES, MO 63131-4234
(314) 258-5941
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2007007759
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
205547201
—
MO
Enumeration date
06/01/2007
Last updated
03/19/2023
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