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

Kirk Wall

Individual provider Critical Care Medicine Registered Nurse · NPI 1265298343

Kirk Wall is a Critical Care Medicine Registered Nurse in Saint Louis, Missouri. Practices as a sole proprietor. Licensed in Missouri.

Licensed in
MO
In the registry since
2024

Practice location Address checks out

4483 Duncan Ave
Saint Louis, MO 63110-1111
Phone: (314) 454-7055
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Critical Care Medicine Registered Nurse (primary) Taxonomy 163WC0200X · Licence 2019021082 (MO)

Record details

NPI number1265298343
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedFebruary 26, 2024
Last updated in NPPESFebruary 26, 2024
Certification dateFebruary 26, 2024
Mailing address7 Cottonwood Glen Dr, Glen Carbon, IL 62034-3011

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