Kilmurry, Tracy M
Kilmurry, Tracy M is an individual health care provider with primary practice located at Ft Zumwalt R-Ii 110 Virgil St, O Fallon MO 63366-2637. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Kilmurry, Tracy M can be contacted via phone (636) 272-1059.Contact Information
Primary practice address
Ft Zumwalt R-Ii 110 Virgil St
O Fallon MO 63366-2637
Phone: (636) 272-1059
Fax: (636) 240-2072
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | 004282 | Missouri |
Profile Details
| NPI number | 1366572265 |
|---|---|
| LBN Legal business name | Kilmurry, Tracy M |
| Credentials | OTR L |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 7th, 2007 |
| Last updated | Feb 19th, 2009 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1366572265 | NPPES |
| Missouri | MEDICAID | 475425203 |
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