MEDICARE: MS. KYRA ELISE ROBINSON

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	374J00000X	Doula

General Provider Information

NPI Number	:	1134010168
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. KYRA ELISE ROBINSON

Provider Business Mailing Address
First Line	:	2461 DOWNS CT
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63136-6212
Country	:	US
Telephone Number	:	314-323-5742
Fax Number	:

Provider Business Practice Location Address
First Line	:	2461 DOWNS CT
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63136-6212
Country	:	US
Telephone Number	:	314-323-5742
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/09/2025
Last Update Date	:	07/09/2025

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