Piggott, Kisha Deslee

Piggott, Kisha Deslee is an individual health care provider with primary practice located at 4901 Forest Park Ave Dept Ophthalmology, 6Th Fl, Saint Louis MO 63108-1495. She recently has only one registered license in Allopathic & Osteopathic Physicians / Retina Specialist, which is considered as her primary health care specialty. Piggott, Kisha Deslee can be contacted via phone (314) 362-3937.

Contact Information

Primary practice address
4901 Forest Park Ave Dept Ophthalmology, 6Th Fl Saint Louis MO 63108-1495
Phone: (314) 362-3937
Fax: (314) 362-3725
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Retina Specialist 207WX0107X 2015007984 Missouri

Profile Details

NPI number 1316236482
LBN Legal business name Piggott, Kisha Deslee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 29th, 2011
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316236482 NPPES
Missouri MEDICAID 200022059

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