OrganizationActive
Kirkwood Diagnostic & Orthopedic Associates, LLC.
NPI 1295839702 · Sports Medicine (Family Medicine) Physician · Saint Louis, MO
Provider details
- NPI number
- 1295839702
- Entity type
- Organization
- Primary specialty
- Sports Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Dave Horace, Business Manager
- License
- 109216 (MO)
Practice location
333 S Kirkwood Rd
Suite 203
Saint Louis, MO 63122-6161
Phone: (314) 909-1666
Fax: (314) 909-7406
Mailing address
333 S Kirkwood Rd
Saint Louis, MO 63122-6161
Registry dates
- Enumerated
- 2006-09-13
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.