Kaebnick, Brian Walter
Kaebnick, Brian Walter is an individual health care provider with primary practice located at 222 S Woods Mill Rd Ste 500N , Chesterfield MO 63017. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Interventional Cardiology, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Kaebnick, Brian Walter can be contacted via phone (314) 205-6699.Contact Information
Primary practice address
222 S Woods Mill Rd Ste 500N
Chesterfield MO 63017
Phone: (314) 205-6699
Fax: (314) 590-5923
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | 52594 | Kentucky |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 2016011517 | Missouri |
Profile Details
| NPI number | 1407084593 |
|---|---|
| LBN Legal business name | Kaebnick, Brian Walter |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 26th, 2009 |
| Last updated | Dec 7th, 2020 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1407084593 | NPPES |
| Kentucky | MEDICAID | PENDING |
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