Aldridge, Kyle Marie

Aldridge, Kyle Marie is an individual health care provider with primary practice located at 1 Childrens Pl Div Ped Allergy/Immuno/Pulmo, Saint Louis MO 63110-1002. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Aldridge, Kyle Marie can be contacted via phone (314) 454-2694.

Contact Information

Primary practice address
1 Childrens Pl Div Ped Allergy/Immuno/Pulmo Saint Louis MO 63110-1002
Phone: (314) 454-2694
Fax: (314) 454-2515
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 2021037868 Missouri

Profile Details

NPI number 1356967897
LBN Legal business name Aldridge, Kyle Marie
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2020
Last updated Apr 25th, 2024 - about 7 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356967897 NPPES
Missouri MEDICAID 420104661

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