Kieran Carroll

NPI #1356871636 in Dardenne Prairie, Missouri

Provider Information

NPI Number: 1356871636
Entity Type: Individual
Name: Kieran Carroll
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Enumeration Date: Jun 19, 2017
Last Updated: Jul 21, 2022

Practice Location

Address: 7421 S OUTER 364 STE B
City: Dardenne Prairie
State: Missouri
ZIP Code: 63368-7014
Phone: (636) 561-2060

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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