Threlkeld, Kevin L.
Threlkeld, Kevin L. is an sole proprietor health care provider with primary practice located at 121 Saint Lukes Center Dr Ste 402 , Chesterfield MO 63017-3519. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Threlkeld, Kevin L. can be contacted via phone (314) 205-6160.Contact Information
Primary practice address
121 Saint Lukes Center Dr Ste 402
Chesterfield MO 63017-3519
Phone: (314) 205-6160
Fax: (314) 590-5918
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | R5P58 | Missouri |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MDR5P58 | Missouri |
Profile Details
| NPI number | 1295703445 |
|---|---|
| LBN Legal business name | Threlkeld, Kevin L. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 12th, 2006 |
| Last updated | Dec 4th, 2020 - about 6 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 | 1295703445 | NPPES |
| Missouri | MEDICAID | 207969510 |
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