Kieran Paul McCarthy
Clinic/Center, Student Health in St Louis, MO. Individual provider (NPI-1).
NPI number1558095059
StatusActive
Last updated in NPPESJul 12, 2022
Details
- NPI
- 1558095059
- Entity type
- Individual (NPI-1)
- Name
- Kieran Paul McCarthy
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jul 12, 2022
- Certification date
- Jun 19, 2022
- Last updated
- Jul 12, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QS1000X | Clinic/Center, Student Health | – | – | Yes |
Practice location
St Louis University School Of MedicineOffice Of Graduate Medical Education
St Louis, MO 63104-6310
Phone 314-977-4800
Mailing address
18 S Kingshighway Blvd Apt 12sSaint Louis, MO 63108-1330
Phone 314-459-2809
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