Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Kasiemobi Ebelechukwu Pulliam, MD

Individual provider Pediatric Surgery Physician · NPI 1568826162

Dr. Kasiemobi Ebelechukwu Pulliam, MD is a Pediatric Medicine in Saint Louis, Missouri. Graduated from Indiana University School of Medicine in 2016, 10 years ago. Licensed in Missouri.

Years since qualifying
10
Trained at
Indiana University School of Medicine
Licensed in
MO
In the registry since
2016
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1 Childrens Pl Div Surg Plastics Ste 2A
Saint Louis, MO 63110-1002
Phone: (314) 362-7388
Fax: (833) 301-0853
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Surgery Physician (primary) Taxonomy 2086S0120X · Licence 2025030530 (MO)

Record details

NPI number1568826162
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 9, 2016
Last updated in NPPESOctober 21, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPEDIATRIC MEDICINE
Medical schoolINDIANA UNIVERSITY SCHOOL OF MEDICINE
Graduated 2016 (10 years in practice)
Accepts Medicare assignment Not indicated

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