Whalio Doctors

NPI 1427422336

Northlight Development LP

Organisation Contractor Saint Louis, MO

Practice location

Address
3414 Hawthorne Blvd, Saint Louis, MO 63104-1623
Phone
(314) 773-4074

Authorised official

Name
Kenneth R Smith
Title
President
Phone
(314) 773-4074

Registered specialties

Contractor Primary
Other Service Providers Taxonomy 171W00000X Licence 26655 (MO)

Registry record

NPI
1427422336
Entity type
Organization
NPI issued
17 Nov 2015
Record last updated
17 Nov 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.