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1679584304
KENNETH A HALLER
SAINT LOUIS, MO
NPI
1679584304
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: MO R4H97)
Enumeration Date
2006-08-10
Last Update Date
2021-01-07
Business Address
KENNETH A HALLER MD
1465 S GRAND BLVD
SAINT LOUIS, MO 63104-1003
Phone number: 314-268-4070
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Mailing Address
KENNETH A HALLER MD
1465 S GRAND BLVD
SAINT LOUIS, MO 63104-1003
Phone number: 314-268-4070
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