Pullam, Kristopher Vaughn
Pullam, Kristopher Vaughn is an sole proprietor health care provider with primary practice located at 1203 Smizer Mill Rd Ste 105 , Fenton MO 63026-3483. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Pullam, Kristopher Vaughn can be contacted via phone (636) 717-1350.Contact Information
Primary practice address
1203 Smizer Mill Rd Ste 105
Fenton MO 63026-3483
Phone: (636) 717-1350
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 2021019546 | Missouri |
Profile Details
| NPI number | 1679067276 |
|---|---|
| LBN Legal business name | Pullam, Kristopher Vaughn |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 18th, 2018 |
| Last updated | Jun 8th, 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.
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