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:
Health care specialties
Specialty | Code | License # | 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 8 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1881870913 | NPPES |
Missouri | MEDICAID | 200005663 |
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