Kevin L. Threlkeld, M.d., Llc

NPI 1023195351 - Internal Medicine - 207R00000X

NPI Details
NPI 1023195351
Enumeration Date 11/01/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name KEVIN L KEVIN
Position PHYSICIAN REGISTERED AGENT
Phone (636) 240-3420
Fax
Practice Location
204 N MAIN ST
O FALLON MO, 63366-2203, US
Phone (636) 240-3420
Fax
Business Location
514 WINDY HILLS DR
WASHINGTON MO, 63090-1215, US
Phone (636) 390-1854
Fax
Toxanomy
Taxonomy Code 207R00000X
License State Missouri
License Number MDR5P58
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According to our database, Kevin L. Threlkeld, M.d., Llc NPI is 1023195351, taxonomy code is 207R00000X and license number is MDR5P58, license state is located at Missouri. Kevin L. Threlkeld, M.d., Llc physically located at 204 N Main St, O Fallon MO, 63366-2203. NPI Number 1033115704 has the healthcare provider type.

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1023195351 NPI number is provided on an as is basis without warranty of any kind. 1023195351 is maintained by the National Plan & Provider Enumeration System. The contents of Kevin L. Threlkeld, M.d., Llc are for informational purposes only.