Spence, Kimberly L.

Spence, Kimberly L. is an individual health care provider with primary practice located at 1465 S. Grand Cardinal Glennon Children'S Medical Center, St. Louis MO 63104. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine, which is considered as her primary health care specialty. Spence, Kimberly L. can be contacted via phone (314) 577-5642.

Contact Information

Primary practice address
1465 S. Grand Cardinal Glennon Children'S Medical Center St. Louis MO 63104
Phone: (314) 577-5642
Fax: (314) 268-6410
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X 2001011434 Missouri

Profile Details

NPI number 1841218567
LBN Legal business name Spence, Kimberly L.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2006
Last updated Jan 12th, 2021 - about 3 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 1841218567 NPPES
Missouri MEDICAID 209132901

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