Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VX0201X | Gynecologic Oncologist | 2010035442 | MO |
N | 207VX0201X | Gynecologic Oncologist | 36116 | KY |
NPI | 1265467377 |
---|---|
Provider Name | Cyril William Helm |
First Address | Saint Louis, MO 63117-1811 |
Second Address | Saint Louis, MO 63117-1818 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/07/2006 |
Last Update Date | 20/04/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000007338V | HUMANA PCS (01) | |
000021037 | HUMANA FOUNDATION (01) | |
200278920 | (05) | IN |
5722062 | AETNA (01) | |
64014806 | (05) | KY |
E95978 | (02) | KY |