KEVIN LUCAS INGALLS

COLUMBIA, MO
NPI1770748543
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2085R0202X Radiology, Diagnostic Radiology
(Licence: MO  2012027552)
Additional Taxonomies2085R0202X Radiology, Diagnostic Radiology
(Licence: MO  2008020873)
Enumeration Date2008-07-22
Last Update Date2013-08-02
Business Address
-- KEVIN LUCAS INGALLS MD
1 HOSPITAL DR
COLUMBIA, MO 65212-0001
Phone number: 573-882-1026
Mailing Address
-- KEVIN LUCAS INGALLS MD
PO BOX 7687
COLUMBIA, MO 65205-7687
Phone number: 573-882-2259