Russell Kl Won in Saint Louis - General Practice
Russell Kl Won - NPI 1245327725
Russell Kl Won is a General Practice in Saint Louis, Missouri. Russell Kl Won practices all healthcare services and medical treatments related to General Practice. The NPI Number for Russell Kl Won is 1245327725. The last update date is 2007-07-08.
Russell Kl Won's current location address is 6500 Lansdowne Ave, Saint Louis, Missouri. You can contact this provider via phone number 3143527003. The mailing address for Russell Kl Won is 6500 Lansdowne Ave, Saint Louis, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Russell Kl Won |
|---|---|
| Address | 6500 Lansdowne Ave, Saint Louis, Missouri |
| Phone Number | 3143527003 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1245327725 |
|---|---|
| Provider Enumeration Date | 2006-10-06 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 6500 Lansdowne Ave |
|---|---|
| City | Saint Louis |
| State | Missouri (MO) |
| Post Code | 631092654 |
| Phone Number | 3143527003 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 208D00000X |
| Licence No | R6B25 |
|
Definition: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 201567013 | MO | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Russell Kl Won by the Centers for Medicare & Medicaid Services?
The Russell Kl Won has been issued the NPI (National Provider Identifier) 1245327725 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Russell Kl Won?
The Russell Kl Won is situated at 6500 Lansdowne Ave, in the city of Saint Louis, state of MO, with the zip code 631092654.
What is Russell Kl Won's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Russell Kl Won's specialized field of practice is General Practice, and the corresponding taxonomy code that categorizes this area of specialization is 208D00000X.
On what date did the Russell Kl Won receive the assignment of its 1245327725 from the Centers for Medicare & Medicaid Services?
The Russell Kl Won was issued its 1245327725 by the Centers for Medicare & Medicaid Services on 2006-10-06.
When was the information related to Russell Kl Won most recently updated or refreshed?
The details pertaining to the Russell Kl Won, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.