Carroll, Kimberly Jeanne
Carroll, Kimberly Jeanne is an individual health care provider with primary practice located at 3023 N Ballas Rd Ste 500 , Saint Louis MO 63131-2359. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Rheumatology, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Rheumatology is her primary health care specialty. Carroll, Kimberly Jeanne can be contacted via phone (314) 996-7930.Contact Information
Primary practice address
3023 N Ballas Rd Ste 500
Saint Louis MO 63131-2359
Phone: (314) 996-7930
Fax: (314) 996-7935
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Rheumatology | 207RR0500X | 2015027133 | Missouri |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 56232 | Wisconsin |
Profile Details
| NPI number | 1982847042 |
|---|---|
| LBN Legal business name | Carroll, Kimberly Jeanne |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 19th, 2009 |
| Last updated | Feb 12th, 2021 - about 4 years 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1982847042 | NPPES |
| Wisconsin | MEDICAID | 1982847042 |
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