Baszis, Kevin Wayne

Baszis, Kevin Wayne is an individual health care provider with primary practice located at 1 Childrens Pl Div Ped Rheumatology, Saint Louis MO 63110-1002. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Rheumatology. Allopathic & Osteopathic Physicians / Pediatric Rheumatology is his primary health care specialty. Baszis, Kevin Wayne can be contacted via phone (314) 454-6124.

Contact Information

Primary practice address
1 Childrens Pl Div Ped Rheumatology Saint Louis MO 63110-1002
Phone: (314) 454-6124
Fax: (844) 616-1418
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 2007011565 Missouri
Allopathic & Osteopathic Physicians / Pediatric Rheumatology 2080P0216X 2007011565 Missouri

Profile Details

NPI number 1366628349
LBN Legal business name Baszis, Kevin Wayne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 21st, 2008
Last updated Apr 25th, 2024 - about 8 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366628349 NPPES
Missouri MEDICAID 204395107

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