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
Fax: (314) 590-5918
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295703445 NPPES
Missouri MEDICAID 207969510

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