Kondis, Jamie Lynn

Kondis, Jamie Lynn is an individual health care provider with primary practice located at 1 Childrens Pl Div Ped Sam Clinic, Saint Louis MO 63110-1002. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine, Allopathic & Osteopathic Physicians / Child Abuse Pediatrics. Allopathic & Osteopathic Physicians / Child Abuse Pediatrics is her primary health care specialty. Kondis, Jamie Lynn can be contacted via phone (314) 454-2879.

Contact Information

Primary practice address
1 Childrens Pl Div Ped Sam Clinic Saint Louis MO 63110-1002
Phone: (314) 454-2879
Fax: (314) 454-2473
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine 2080P0204X 2009015140 Missouri
Allopathic & Osteopathic Physicians / Child Abuse Pediatrics 2080C0008X 2009015140 Missouri

Profile Details

NPI number 1881870913
LBN Legal business name Kondis, Jamie Lynn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 18th, 2008
Last updated Apr 25th, 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 1881870913 NPPES
Missouri MEDICAID 200005663

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