Hickey, Christina Kim Ahn
Hickey, Christina Kim Ahn is an individual health care provider with primary practice located at 1 Childrens Pl Ste C, Saint Louis MO 63110-1002. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Gastroenterology. Allopathic & Osteopathic Physicians / Pediatric Gastroenterology is her primary health care specialty. Hickey, Christina Kim Ahn can be contacted via phone (314) 454-6173.Contact Information
Primary practice address
1 Childrens Pl Ste C
Saint Louis MO 63110-1002
Phone: (314) 454-6173
Fax: (314) 454-2412
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 2013018916 | Missouri |
| Allopathic & Osteopathic Physicians / Pediatric Gastroenterology | 2080P0206X | 2013018916 | Missouri |
Profile Details
| NPI number | 1528296324 |
|---|---|
| LBN Legal business name | Hickey, Christina Kim Ahn |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 30th, 2009 |
| Last updated | Jul 10th, 2019 - about 6 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 | 1528296324 | NPPES |
| Illinois | MEDICAID | ENROLLED |
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