Bushroe, Kylie Michelle

Bushroe, Kylie Michelle is an individual health care provider with primary practice located at 1 Childrens Pl Div Ped Newborn Medicine, Saint Louis MO 63110-1002. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine. Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine is her primary health care specialty. Bushroe, Kylie Michelle can be contacted via phone (314) 454-2683.

Contact Information

Primary practice address
1 Childrens Pl Div Ped Newborn Medicine Saint Louis MO 63110-1002
Phone: (314) 454-2683
Fax: (314) 454-4633
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 2019029599 Missouri
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X 2019029599 Missouri

Profile Details

NPI number 1598259566
LBN Legal business name Bushroe, Kylie Michelle
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2018
Last updated Jul 2nd, 2024 - about 5 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 1598259566 NPPES
Missouri MEDICAID 200061289

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