Search › Missouri › 163WC0200X
Kirk Wall
NPI 1265298343 · on the registry since 2024 · sole proprietor
Practice
- Address
- 4483 Duncan Ave
Saint Louis, MO 63110 - Phone
- (314) 454-7055
- Clinicians at this address
- 11
Registry record
- Primary taxonomy
- 163WC0200X
163WC0200X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-02-26
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