IndividualActive
Kirk Wall
NPI 1265298343 · Critical Care Medicine Registered Nurse · Saint Louis, MO
Provider details
- NPI number
- 1265298343
- Entity type
- Individual
- Primary specialty
- Critical Care Medicine Registered NurseNursing Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 2019021082 (MO)
Specialties & taxonomies
Nursing Service Providers
Practice location
4483 Duncan Ave
Saint Louis, MO 63110-1111
Phone: (314) 454-7055
Approximate (ZIP-level) locationGet directions
Mailing address
7 Cottonwood Glen Dr
Glen Carbon, IL 62034-3011
Registry dates
- Enumerated
- 2024-02-26
- Last updated
- 2024-02-26
- Certified
- 2024-02-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.