Kingston, Michelle Ann

Kingston, Michelle Ann is an individual health care provider with primary practice located at 1430 Olive St Ste 400 , Saint Louis MO 63103-2303. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Kingston, Michelle Ann can be contacted via phone (314) 206-3700.

Contact Information

Primary practice address
1430 Olive St Ste 400 Saint Louis MO 63103-2303
Phone: (314) 206-3700
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 000000
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X 227006516 Illinois
Behavioral Health & Social Service Providers / Clinical 1041C0700X

Profile Details

NPI number 1083914089
LBN Legal business name Kingston, Michelle Ann
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 25th, 2010
Last updated Mar 23rd, 2022 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083914089 NPPES
Illinois MEDICAID 371303427003

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