Kevin O Easley in St Louis - Gynecologic Oncology

Kevin O Easley - NPI 1154385417

Kevin O Easley is a Gynecologic Oncology in St Louis, Missouri. Kevin O Easley practices all healthcare services and medical treatments related to Gynecologic Oncology. The NPI Number for Kevin O Easley is 1154385417. The last update date is 2008-07-02.

Kevin O Easley's current location address is 12855 North Forty Dr, St Louis, Missouri. You can contact this provider via phone number 3146281210 and fax number 3146281220. The mailing address for Kevin O Easley is 12855 North Forty Dr, St Louis, Missouri. To know further, please read the information below!

Provider Profile Detail

Provider Name Kevin O Easley
Address 12855 North Forty Dr, St Louis, Missouri
Phone Number 3146281210
Fax Number 3146281220
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1154385417
Provider Enumeration Date 2006-04-13
Last Updated Date 2008-07-02

Provider Mailing Address Detail

Address 12855 North Forty Dr
City St Louis
State Missouri (MO)
Post Code 63141
Phone Number 3146281210
Fax Number 3146281220

Provider's Primary Taxonomy Detail

Speciality Gynecologic Oncology
Taxonomy 207Vx0201X
Licence No 105787
Definition:
An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and res

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
431787580 GREAT WEST
332932 HEALTHLINK
431787580 GOLDEN RULE
54920 CMR
C83613 MERCY
3605461 MEDICARE COMPLETE
431787580 MO UNITED HEALTHCARE
4915117001 CIGNA
54920 GROUP HEALTH PLAN
207950916 MO --

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FAQs about Kevin O Easley

What is the unique 10-digit identification code issued to Kevin O Easley by the Centers for Medicare & Medicaid Services?

The Kevin O Easley has been assigned the NPI (National Provider Identifier) 1154385417 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you provide the complete physical address where Kevin O Easley is located?

The Kevin O Easley is situated at the following address: 12855 North Forty Dr, St Louis, MO, 63141.

What is Kevin O Easley's specialized field of practice, and what is the corresponding taxonomy classification code?

The Kevin O Easley's area of specialization is Gynecologic Oncology, and the corresponding taxonomy code that categorizes this field of practice is 207Vx0201X.

On what date was the 1154385417 assigned to Kevin O Easley?

The Kevin O Easley was issued its 1154385417 on 2006-04-13, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the information regarding Kevin O Easley most recently updated?

The details pertaining to the Kevin O Easley, including its address, specialty, and other relevant information, were last refreshed on 2008-07-02.

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