Provider Demographics
NPI:1700922432
Name:STERNHELL-BLACKWELL, KARA ELLEN (MD)
Entity Type:Individual
Prefix:DR
First Name:KARA
Middle Name:ELLEN
Last Name:STERNHELL-BLACKWELL
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:660 S EUCLID AVE
Mailing Address - Street 2:C B 8123
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63110-1010
Mailing Address - Country:US
Mailing Address - Phone:314-996-8010
Mailing Address - Fax:314-275-8892
Practice Address - Street 1:969 N MASON RD STE 220
Practice Address - Street 2:STE 220
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63141-6338
Practice Address - Country:US
Practice Address - Phone:314-996-8010
Practice Address - Fax:314-275-8892
Is Sole Proprietor?:No
Enumeration Date:2007-01-29
Last Update Date:2018-01-29
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MO2009006851207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILENROLLEDMedicaid
MO1700922432Medicaid