Doctor Name: | DR. SIRIPORN KULKAMTHORN |
NPI Number: | 1790854388 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | 35164 |
Business Practice Address: | 6125 Clayton Ave Ste 101 Saint Louis, MO - 631393266 |
Business Phone Number: | 3147683034 |
Business Fax Number: | 3147685607 |
Mailing Address: | 6125 Clayton Ave Ste 101, SAINT LOUIS |
State: | MO |
Postal Code: | 631393266 |
Phone Number: | 3147683034 |
Fax Number: | 3147685607 |
NPI Enumeration Date: | 11/07/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225400000X |
License Number: | 35164 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Rehabilitation Practitioner |
Taxonomy Specialization: | |
Taxonomy Definition: | A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. |