KYLE JOHNSON

SAINT LOUIS, MO
NPI1174053920
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: MO  2017019521)
Enumeration Date2017-06-14
Last Update Date2017-06-14
Business Address
KYLE JOHNSON DO
12680 OLIVE BLVD STE 300
SAINT LOUIS, MO 63141-6322
Phone number: 314-251-8888
Mailing Address
KYLE JOHNSON DO
615 S NEW BALLAS RD
SAINT LOUIS, MO 63141-8221
Phone number: 314-251-8888
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