SearchMissouriFamily Medicine Physician

Kyle Johnson, DO

NPI 1174053920 · on the registry since 2017 · sole proprietor

Practice

Address
12680 Olive Blvd Ste 300
Saint Louis, MO 63141
Phone
(314) 251-8888
Organisation at this address
Mercy Health Services, Llc
Mercy Pharmacy Services, Llc
St Johns Mercy Medical Center
St. John'S Mercy Medical Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address
58

Registry record

Primary taxonomy
Family Medicine Physician
207Q00000X
Licence states on file
MO
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2017-06-14

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri