Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 2021032806 | MO |
N | 208600000X | Surgeon | 2021032806 | MO |
Y | 2086S0102X | Surgical Critical Care | 2021032806 | MO |
NPI | 1154748234 |
---|---|
Provider Name | Dr. Lindsay Morgan Kranker |
First Address | Saint Louis, MO 63110-1010 |
Second Address | Saint Louis, MO 63110-1003 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/03/2014 |
Last Update Date | 16/11/2021 |