| NPI | 1841496387 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH R KILIAN President 636-933-9300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MO 2002022533) |
| Enumeration Date | 2007-06-22 |
| Last Update Date | 2010-10-19 |