KEVIN L QUEEN

SAINT LOUIS, MO
NPI1578897054
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367H00000X Anesthesiologist Assistant
(Licence: MO  2009029105)
Enumeration Date2009-09-30
Last Update Date2009-09-30
Business Address
Mr. KEVIN L QUEEN A.A.
615 S NEW BALLAS RD DEPT. OF ANESTHESIA
SAINT LOUIS, MO 63141-8221
Phone number: 314-251-6000
Mailing Address
Mr. KEVIN L QUEEN A.A.
339 CONSORT DR
BALLWIN, MO 63011-4439
Phone number: 636-386-9224
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