Sutton, Kimberly Anne

Sutton, Kimberly Anne is an individual health care provider with primary practice located at 1 Childrens Pl Div Ped Gastro, Hepatology And Nutrition, Saint Louis MO 63110-1002. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Gastroenterology, which is considered as her primary health care specialty. Sutton, Kimberly Anne can be contacted via phone (314) 454-6173.

Contact Information

Primary practice address
1 Childrens Pl Div Ped Gastro, Hepatology And Nutrition Saint Louis MO 63110-1002
Phone: (314) 454-6173
Fax: (844) 231-8912
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Gastroenterology 2080P0206X 2019023068 Missouri

Profile Details

NPI number 1730539982
LBN Legal business name Sutton, Kimberly Anne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 19th, 2016
Last updated Apr 25th, 2024 - about 5 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 1730539982 NPPES
Missouri MEDICAID 200062496

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