Kevin James Lickenbrock in Saint Louis - Family Medicine
Kevin James Lickenbrock - NPI 1174643845
Kevin James Lickenbrock is a Family Medicine in Saint Louis, Missouri. Kevin James Lickenbrock practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Kevin James Lickenbrock is 1174643845. The last update date is 2007-07-08.
Kevin James Lickenbrock's current location address is 1159 Albany Ct, Saint Louis, Missouri. You can contact this provider via phone number 3149614098. The mailing address for Kevin James Lickenbrock is 1159 Albany Ct, Saint Louis, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kevin James Lickenbrock |
|---|---|
| Address | 1159 Albany Ct, Saint Louis, Missouri |
| Phone Number | 3149614098 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1174643845 |
|---|---|
| Provider Enumeration Date | 2007-03-29 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1159 Albany Ct |
|---|---|
| City | Saint Louis |
| State | Missouri (MO) |
| Post Code | 631194733 |
| Phone Number | 3149614098 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 100453 |
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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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Post Comment/ Review Below
What is the unique provider identifier assigned to Kevin James Lickenbrock?
The Kevin James Lickenbrock has been issued the NPI (National Provider Identifier) 1174643845 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 street address where Kevin James Lickenbrock is physically located?
The Kevin James Lickenbrock is physically situated at the following address: 1159 Albany Ct, Saint Louis, MO, 631194733.
What is the Kevin James Lickenbrock's specialty and taxonomy code?
The Kevin James Lickenbrock's specialty is Family Medicine, and the corresponding taxonomy code is 207Q00000X.
When did the Kevin James Lickenbrock receive its 1174643845?
The Kevin James Lickenbrock was issued its 1174643845 on 2007-03-29, which is the date when the organization was assigned this unique identifier.
When was the information pertaining to Kevin James Lickenbrock most recently updated or revised?
The details related to Kevin James Lickenbrock, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.