Kim C Ireland, M.D.
Family Medicine in Saint Louis, MO. Individual provider (NPI-1).
NPI number1649260548
StatusActive
Last updated in NPPESJan 8, 2014
Details
- NPI
- 1649260548
- Entity type
- Individual (NPI-1)
- Name
- Kim C Ireland
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 24, 2005
- Last updated
- Jan 8, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 36174 | MO | Yes |
Practice location
3009 N Ballas RdSuite 100b
Saint Louis, MO 63131-2322
Phone 314-432-1111 · Fax 314-432-6308
Mailing address
3009 N Ballas RdSuite 100b
Saint Louis, MO 63131-2322
Phone 314-432-1111 · Fax 314-432-6308
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