Healthcare Provider Details

I. General information

NPI: 1497772388
Provider Name (Legal Business Name): KIMBERLY A SCHIEL MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KIMBERLY A ZOBERI MD

II. Dates (important events)

Enumeration Date: 07/16/2006
Last Update Date: 01/13/2021
Certification Date: 01/13/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2315 DOUGHERTY FERRY RD SUITE 205
SAINT LOUIS MO
63122-3383
US

IV. Provider business mailing address

1402 S GRAND BLVD O'DONNELL BLDG, 2ND FLOOR
SAINT LOUIS MO
63104-1004
US

V. Phone/Fax

Practice location:
  • Phone: 314-977-9600
  • Fax: 314-977-9627
Mailing address:
  • Phone: 314-977-8480
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number110841
License Number StateMO
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number110841
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: