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NPI Code Detail

MEDICARE: KIRSTEN M MCDANIEL D.O.

MEDICARE: KIRSTEN M MCDANIEL D.O.
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
1207V00000XObstetrics & Gynecology Physician2004016557MO

General Provider Information

NPI Number : 1427027515
Entity Type Code : Individual
Provider Name (Legal Business Name) : KIRSTEN M MCDANIEL D.O.
Provider Business Mailing Address
First Line : 20 PROGRESS POINT PKWY STE 206
Second Line :
City : O FALLON
State : MO
Zip : 63368-2207
Country : US
Telephone Number : 636-344-3060
Fax Number :
Provider Business Practice Location Address
First Line : 20 PROGRESS POINT PKWY STE 206
Second Line :
City : O FALLON
State : MO
Zip : 63368-2207
Country : US
Telephone Number : 636-344-3060
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/14/2006
Last Update Date : 03/22/2023

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