Individual
KYLEIGH KIRBACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
7329 BALSON AVE, SAINT LOUIS, MO 63130-2902
(217) 502-2784
Mailing address
7329 BALSON AVE, SAINT LOUIS, MO 63130-2902
(217) 502-2784
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
2014030567
MO
207R00000X
Internal Medicine Physician
Primary
2024025878
MO
Other
Enumeration date
02/16/2016
Last updated
09/08/2024
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