Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0002X | Hospice and Palliative Medicine | 2018011874 | MO |
NPI | 1346503935 |
---|---|
Provider Name | Lindsay Hinkle-Johnston |
First Address | Saint Louis, MO 63141-8274 |
Second Address | Saint Louis, MO 63141-8274 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/06/2012 |
Last Update Date | 12/08/2020 |