KELYN N PITTMAN


Address: 3635 Vista Ave, Saint Louis, MO 63110-2539
Phone: 3145778850

KELYN N PITTMAN (NPI# 1417579541) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1417579541
Entity Type Individual
Full Name KELYN N PITTMAN
Credential MD
Practice Address 3635 Vista Ave
Saint Louis
MO 63110-2539
Mailing Address 1402 S Grand Blvd
Saint Louis
MO 63104-1004
Practice Telephone 3145778850
Enumeration Date 2020-05-12
Last Update Date 2020-05-12
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 390200000X Student in an Organized Health Care Education/Training Program XXXX MS Student, Health Care

Office Location

Street Address 3635 VISTA AVE
City SAINT LOUIS
State MO
Zip Code 63110-2539

Providers in the same location

NPI Name Taxonomy Address Enumeration
1891790689 Rajeswari Chintapalli Anesthesiology 3635 Vista Ave, Saint Louis, MO 63110-2539 2005-06-17
1932711389 Breezy Summer Stanley Nurse Practitioner 3635 Vista Ave, Saint Louis, MO 63110-2539 2020-08-18
1235756842 Trisha Ann Janis Nurse Practitioner 3635 Vista Ave, Saint Louis, MO 63110-2500 2020-06-30
1780207167 Michelle Reale Speech-Language Pathologist 3635 Vista Ave, Saint Louis, MO 63110-2539 2020-05-20
1801418926 Jason Adam Horowitz Student in an Organized Health Care Education/Training Program 3635 Vista Ave, Saint Louis, MO 63110-2539 2020-05-12
1255953378 Luke Andrew Momper Student in an Organized Health Care Education/Training Program 3635 Vista Ave, Saint Louis, MO 63110-2539 2020-05-12
1063034197 Tyler Daniel Ragsdale Student in an Organized Health Care Education/Training Program 3635 Vista Ave, Saint Louis, MO 63110-2539 2020-05-12
1881216901 Purav Sudhir Brahmbhatt Student in an Organized Health Care Education/Training Program 3635 Vista Ave, Saint Louis, MO 63110-2539 2020-05-12
1578185989 Feras Kaid Radiologic Technologist 3635 Vista Ave, Saint Louis, MO 63110-2539 2020-05-08
1659991032 Susan Duffie Physical Therapist 3635 Vista Ave, Saint Louis, MO 63110-2539 2020-04-25
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1659971992 Carrie Ellen Smith Nurse Practitioner Mailstop 90-00-174, One Barnes-jewish Plaza, St. Louis, MO 63110 2020-10-27
1881210466 Michelle Amanda Freilich Internal Medicine Barnes-jewish Plaza, St. Louis, MO 63110 2020-06-19
1245856046 Jeevin Shahi Radiology 3685 Vista Avenue, Center for Radiation Medicine, St. Louis, MO 63110 2020-06-18
1497371314 Wilson Eduardo Rodriguez Student in an Organized Health Care Education/Training Program 1008 S. Spring, St Louis, MO 63110 2020-06-17
1578184065 Kathryn Kay Lindsay Registered Nurse Saint Louis University Dept of Surgery, 3635 Vista Ave 3dt, St Louis, MO 63110 2020-05-06
1881232700 Ashley Diane Pace Nurse Practitioner 1 Parkview Place, Shoenberg 6900, St. Louis, MO 63110 2019-12-11
1619520418 Krithika Damodar Shenoy Pathology 660 Euclid Avenue, One Barnes Jewish Hospital Plaza, St. Louis, MO 63110 2019-07-20
1467912550 Ian Ferguson Dermatology 660 S Euclid Ave., Cb 8123, St. Louis, MO 63110 2019-03-23
1760978688 Ihab Hassanieh Student in an Organized Health Care Education/Training Program 33660 Vista Ave, St. Louis, MO 63110 2018-07-03
1336634500 Martin K Mwangi Pediatrics 1 Childrens Place, 3s34, St. Louis, M, MO 63110 2018-06-28
Find all providers in zip 63110

Taxonomy Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Notes: [1/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1245845908 Ali Hamzehloo Student in an Organized Health Care Education/Training Program 1155 Appleseed Ln Unit D, Saint Louis, MO 63132-3239 2020-09-10
1114539137 Brooke Marissa Tubbs Student in an Organized Health Care Education/Training Program 5135 Redstone Rd, Saint Louis, MI 48880-9602 2020-08-20
1508475245 Irfan Yasin Student in an Organized Health Care Education/Training Program 1402 S Grand Blvd Dept Of, Saint Louis, MO 63104-1004 2020-07-29
1457978231 Katherine Coates Student in an Organized Health Care Education/Training Program 4534 Olive St Apt 306, Saint Louis, MO 63108-1869 2020-06-29
1184248437 Catherine Gaines Student in an Organized Health Care Education/Training Program 362 S Maple Ave, Saint Louis, MO 63119-3824 2020-06-02
1922620947 Nicole Werner Student in an Organized Health Care Education/Training Program 9669 Amona Ct, Saint Louis, MO 63123-6535 2020-05-13
1043831787 Reed Welch Student in an Organized Health Care Education/Training Program 1501 Fairmount Ave, Saint Louis, MO 63139-3628 2020-05-05
1437779097 Victoria Emanuelson Student in an Organized Health Care Education/Training Program 4048 Cleveland Ave Apt 3w, Saint Louis, MO 63110-3958 2020-04-23
1831727502 Kiran Ashok Patel Student in an Organized Health Care Education/Training Program 4050 W Pine Blvd Apt 3311b, Saint Louis, MO 63108-3294 2020-03-30
1699301507 Morgann Madill Student in an Organized Health Care Education/Training Program 4144 De Tonty St Apt 1d, Saint Louis, MO 63110-2511 2020-03-23
Find all providers in SAINT LOUIS

Competitor

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City SAINT LOUIS
Zip Code 63110

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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