Kimberli Etta Mccallum in Saint Louis - Psychiatry
Kimberli Etta Mccallum - NPI 1144202102
Kimberli Etta Mccallum is a Psychiatry in Saint Louis, Missouri. Kimberli Etta Mccallum practices all healthcare services and medical treatments related to Psychiatry. The NPI Number for Kimberli Etta Mccallum is 1144202102. The last update date is 2013-10-29.
Kimberli Etta Mccallum's current location address is 231 W Lockwood Ave, Saint Louis, Missouri. You can contact this provider via phone number 3149681900 and fax number 3149681901. The mailing address for Kimberli Etta Mccallum is 231 W Lockwood Ave, Saint Louis, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kimberli Etta Mccallum |
|---|---|
| Address | 231 W Lockwood Ave, Saint Louis, Missouri |
| Phone Number | 3149681900 |
| Fax Number | 3149681901 |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1144202102 |
|---|---|
| Provider Enumeration Date | 2005-11-16 |
| Last Updated Date | 2013-10-29 |
Provider Mailing Address Detail
| Address | 231 W Lockwood Ave |
|---|---|
| City | Saint Louis |
| State | Missouri (MO) |
| Post Code | 631192951 |
| Phone Number | 3149681900 |
| Fax Number | 3149681901 |
Provider's Primary Taxonomy Detail
| Speciality | Psychiatry |
|---|---|
| Taxonomy | 2084P0800X |
| Licence No | R2K80 |
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Definition: A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment |
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What is the Kimberli Etta Mccallum's unique identification number?
The Kimberli Etta Mccallum has been assigned the NPI (National Provider Identifier) Number 1144202102 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete street address where Kimberli Etta Mccallum is physically located?
The Kimberli Etta Mccallum is physically situated at the following address: 231 W Lockwood Ave, Saint Louis, MO, 631192951.
What is the area of specialization for Kimberli Etta Mccallum, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Kimberli Etta Mccallum is Psychiatry, and the corresponding taxonomy code that categorizes this area of expertise is 2084P0800X.
On what date did the Centers for Medicare & Medicaid Services assign the 1144202102 to Kimberli Etta Mccallum?
The Centers for Medicare & Medicaid Services assigned the 1144202102 to Kimberli Etta Mccallum on 2005-11-16.
When was the information regarding Kimberli Etta Mccallum most recently updated?
The details pertaining to the Kimberli Etta Mccallum, including its address, specialty, and other relevant information, were last refreshed on 2013-10-29.