Provider Demographics
NPI:1184067803
Name:SEYMOUR, KRISTA ZARI (MD)
Entity type:Individual
Prefix:DR
First Name:KRISTA
Middle Name:ZARI
Last Name:SEYMOUR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:1110 HIGHLANDS PLAZA DR E STE 280
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63110-1351
Mailing Address - Country:US
Mailing Address - Phone:314-273-0195
Mailing Address - Fax:314-273-0190
Practice Address - Street 1:1110 HIGHLANDS PLAZA DR E STE 280
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63110
Practice Address - Country:US
Practice Address - Phone:314-273-0195
Practice Address - Fax:314-273-0190
Is Sole Proprietor?:No
Enumeration Date:2013-04-11
Last Update Date:2021-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXQ7469207R00000X
MO2019017043207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine