Individual
KIM PRICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
915 N GRAND BLVD, SAINT LOUIS, MO 63106-1621
(314) 289-6457
Mailing address
915 N GRAND BLVD, SAINT LOUIS, MO 63106-1621
(314) 289-6457
(314) 289-7949
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
2009003019
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1301071
—
MA
Enumeration date
04/09/2007
Last updated
04/02/2024
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