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Contact Information

KYLE B WOMACK, MD
4921 PARKVIEW PL
DIV NEURO AGING AND DEMENTIA, STE 6C
SAINT LOUIS, MO63110-1032
 Phone: 314-286-1967
 Fax: 314-286-1985
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neurology

2084N0400X 13 Physician/Neurology
 

Behavioral Neurology & Neuropsychiatry

2084B0040X
Indicates primary specialty

NPI Profile & details for KYLE B WOMACK · (Male)

NPI Number 1922065796
Status Active
Credentials MD
Entity Individual
Enumeration date 04/27/2006
Last updated 04/17/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • MO License # 2020020119
  • MO Medicaid 200085730
Hospital affiliation(s)
  • BARNES JEWISH HOSPITAL - (Acute Care)
    ONE BARNES-JEWISH HOSPITAL PLAZA
    SAINT LOUIS, MO 63110
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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