NPI 1790854388

Siriporn Kulkamthorn, MD

Practitioner Rehabilitation Practitioner Saint Louis, MO

Practice location

Address: 6125 Clayton Ave STE 101, Saint Louis, MO 63139-3266
Phone: (314) 768-3034
Fax: (314) 768-5607

Registered specialties

Rehabilitation Practitioner Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225400000X Licence 35164 (MO)

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Registry record

NPI: 1790854388
Entity type: Individual
Sex (as registered): Female
NPI issued: 7 Nov 2006
Record last updated: 8 Jul 2007

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.