Kelly A. Rourke M.D.

NPI 1033185285 - Internal Medicine - 207R00000X

NPI Details
NPI 1033185285
Gender Female
Enumeration Date 02/27/2006
Last Updated 01/22/2015
Entity Type Individual
Active Over 10 years ago
Practice Location
12348 OLD TESSON RD
SUITE 240
SAINT LOUIS MO, 63128-2251, US
Phone (314) 467-3900
Fax (314) 467-3919
Business Location
12348 OLD TESSON RD
SUITE 240
SAINT LOUIS MO, 63128-2251, US
Phone (314) 467-3900
Fax (314) 467-3919
Toxanomy
Taxonomy Code 207R00000X
License State Missouri
License Number R8N25
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According to our database, Kelly A. Rourke M.D. NPI is 1033185285, taxonomy code is 207R00000X and license number is R8N25, license state is located at Missouri. Kelly A. Rourke M.D. physically located at 12348 Old Tesson Rd, Saint Louis MO, 63128-2251. NPI Number Kelly A. Rourke M.D. has the Individual type.

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1033185285 NPI number is provided on an as is basis without warranty of any kind. 1033185285 is maintained by the National Plan & Provider Enumeration System. The contents of Kelly A. Rourke M.D. are for informational purposes only.