Kevin Boatright in Saint Louis - Family Medicine
Kevin Boatright - NPI 1629185103
Kevin Boatright is a Family Medicine in Saint Louis, Missouri. Kevin Boatright practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Kevin Boatright is 1629185103. The last update date is 2012-11-13.
Kevin Boatright's current location address is 670 Mason Ridge Center Dr, Saint Louis, Missouri. You can contact this provider via phone number 5737561744 and fax number 5737562499. The mailing address for Kevin Boatright is 670 Mason Ridge Center Dr, Saint Louis, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kevin Boatright |
|---|---|
| Address | 670 Mason Ridge Center Dr, Saint Louis, Missouri |
| Phone Number | 5737561744 |
| Fax Number | 5737562499 |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1629185103 |
|---|---|
| Provider Enumeration Date | 2006-08-23 |
| Last Updated Date | 2012-11-13 |
Provider Mailing Address Detail
| Address | 670 Mason Ridge Center Dr |
|---|---|
| City | Saint Louis |
| State | Missouri (MO) |
| Post Code | 631418573 |
| Phone Number | 5737561744 |
| Fax Number | 5737562499 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | R7D62 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 201971702 | MO | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Kevin Boatright?
The Kevin Boatright has been issued the NPI (National Provider Identifier) 1629185103 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Kevin Boatright?
The Kevin Boatright is physically situated at 670 Mason Ridge Center Dr, in the city of Saint Louis, state of MO, with the postal code 631418573.
What is Kevin Boatright's area of expertise and its corresponding taxonomy classification?
The Kevin Boatright's field of specialization is Family Medicine, and it falls under the taxonomy code 207Q00000X, which categorizes healthcare providers based on their areas of practice.
When did Kevin Boatright receive its 1629185103 assignment?
The Kevin Boatright was assigned its 1629185103 on 2006-08-23, which is the date when this unique identifier was issued to the organization.
As of what date were the details related to Kevin Boatright most recently updated or revised?
The information pertaining to Kevin Boatright, including its address, specialty, and other relevant details, was last updated or revised on 2012-11-13.