Baumgartner, Kevin Timothy

Baumgartner, Kevin Timothy is an individual health care provider with primary practice located at 400 S Kingshighway Blvd Dept Emergency Med, Saint Louis MO 63110-1014. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Medical Toxicology, Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Baumgartner, Kevin Timothy can be contacted via phone (314) 362-9123.

Contact Information

Primary practice address
400 S Kingshighway Blvd Dept Emergency Med Saint Louis MO 63110-1014
Phone: (314) 362-9123
Fax: (314) 747-3338
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Medical Toxicology 207PT0002X 2017032833 Missouri
Allopathic & Osteopathic Physicians / General Practice 208D00000X 2017032833 Missouri
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 2017032833 Missouri

Profile Details

NPI number 1962883256
LBN Legal business name Baumgartner, Kevin Timothy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2015
Last updated Apr 25th, 2024 - about 7 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 1962883256 NPPES
Missouri MEDICAID 200054897

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