O'Blanc, Kyle Anthony
O'Blanc, Kyle Anthony is an sole proprietor health care provider with primary practice located at 1825 High Oak Rd , Saint Louis MO 63131-1501. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. O'Blanc, Kyle Anthony can be contacted via phone (504) 710-8234.Contact Information
Primary practice address
1825 High Oak Rd
Saint Louis MO 63131-1501
Phone: (504) 710-8234
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 2018014429 | Missouri |
Profile Details
| NPI number | 1013116458 |
|---|---|
| LBN Legal business name | O'Blanc, Kyle Anthony |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 16th, 2007 |
| Last updated | Nov 15th, 2021 - about 5 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 | 1013116458 | NPPES |
| Missouri | MEDICAID | 200062980 | |
| Missouri | MEDICAID | ENROLLED |
Popular Providers
-
Parkar, Nadeem D
3635 Vista At Grand Radiology Dept - Sluh, Saint Louis MO 63110-0250 -
Goodhope, Karen F.
450 N New Ballas Rd Ste. 250, Saint Louis MO 63141-6835 -
Southard, Richard
510 S Kingshighway Blvd Dept Radiology, Saint Louis MO 63110-1016 -
Martine, Andrew R
615 S New Ballas Rd Dept Of Radiology, Saint Louis MO 63141-8221 -
Pinkhasov, Tzvia
621 S New Ballas Rd Ste 3019B , Saint Louis MO 63141-8267 -
Fajardo, Laurie L
510 S Kingshighway Blvd , Saint Louis MO 63110-1016 -
Kang, Myung Ja
5535 Delmar Boulevard , Saint Louis MO 63112-0000 -
Abodeely, Daniel
9930 Watson Rd , Saint Louis MO 63126-1827