Kelly A. Rourke in Saint Louis - Internal Medicine

Kelly A. Rourke - NPI 1033185285

Kelly A. Rourke is a Internal Medicine in Saint Louis, Missouri. Kelly A. Rourke practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Kelly A. Rourke is 1033185285. The last update date is 2015-01-22.

Kelly A. Rourke's current location address is 12348 Old Tesson Rd, Saint Louis, Missouri. You can contact this provider via phone number 3144673900 and fax number 3144673919. The mailing address for Kelly A. Rourke is 12348 Old Tesson Rd, Saint Louis, Missouri. To know further, please read the information below!

Provider Profile Detail

Provider Name Kelly A. Rourke
Address 12348 Old Tesson Rd, Saint Louis, Missouri
Phone Number 3144673900
Fax Number 3144673919
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1033185285
Provider Enumeration Date 2006-02-27
Last Updated Date 2015-01-22

Provider Mailing Address Detail

Address 12348 Old Tesson Rd
City Saint Louis
State Missouri (MO)
Post Code 631282251
Phone Number 3144673900
Fax Number 3144673919

Provider's Primary Taxonomy Detail

Speciality Internal Medicine
Taxonomy 207R00000X
Licence No R8N25
Definition:
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
110178092 MO RAILROAD MEDICARE

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FAQs about Kelly A. Rourke

What is the unique identifier code issued to Kelly A. Rourke by the Centers for Medicare & Medicaid Services (CMS)?

The Kelly A. Rourke has been assigned the NPI (National Provider Identifier) 1033185285. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please provide the complete street address where Kelly A. Rourke is physically located?

The Kelly A. Rourke is physically situated at the following address: 12348 Old Tesson Rd, Saint Louis, MO, 631282251.

What is the Kelly A. Rourke's area of specialization and corresponding taxonomy classification?

The Kelly A. Rourke's specialty field is Internal Medicine, and it falls under the taxonomy code 207R00000X, which categorizes healthcare providers based on their specialties.

On what date did Kelly A. Rourke receive its 1033185285 assignment from the Centers for Medicare & Medicaid Services?

The Kelly A. Rourke was assigned its 1033185285 on 2006-02-27, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information pertaining to Kelly A. Rourke, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Kelly A. Rourke, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2015-01-22.

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