Kyriakos, Michael
Kyriakos, Michael is an individual health care provider with primary practice located at 216 S Kingshighway Blvd , Saint Louis MO 63110-1026. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology, which is considered as his primary health care specialty. Kyriakos, Michael can be contacted via phone (314) 362-5641.Contact Information
Primary practice address
216 S Kingshighway Blvd
Saint Louis MO 63110-1026
Phone: (314) 362-5641
Fax: (314) 362-0369
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anatomic Pathology | 207ZP0101X | R3089 | Missouri |
Profile Details
| NPI number | 1225054539 |
|---|---|
| LBN Legal business name | Kyriakos, Michael |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 14th, 2006 |
| Last updated | Jan 24th, 2018 - about 7 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 | 1225054539 | NPPES |
| Illinois | MEDICAID | ENROLLED | |
| Illinois | MEDICAID | 202572004 |
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