Individual
HEATHER DIANE KIRKOVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
230 S BEMISTON AVE STE 430, CLAYTON, MO 63105-1907
(314) 530-7400
Mailing address
11925 BIG BEND RD, SAINT LOUIS, MO 63122-5554
(618) 792-3635
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2019016831
MO
Other
Enumeration date
08/27/2021
Last updated
08/27/2021
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