Radoulova, Kristina

Radoulova, Kristina is an individual health care provider with primary practice located at 621 S New Ballas Rd Ste 693A , Saint Louis MO 63141-8263. She recently has only one registered license in Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, which is considered as her primary health care specialty. Radoulova, Kristina can be contacted via phone (314) 251-6898.

Contact Information

Primary practice address
621 S New Ballas Rd Ste 693A Saint Louis MO 63141-8263
Phone: (314) 251-6898
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X 2009005467 Missouri

Profile Details

NPI number 1720287089
LBN Legal business name Radoulova, Kristina
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 16th, 2007
Last updated Mar 17th, 2018 - about 6 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 1720287089 NPPES
Missouri MEDICAID 1720287089

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