Davis, Thomas Keefe

Davis, Thomas Keefe is an individual health care provider with primary practice located at 1 Childrens Pl Ste 2C And 2D, 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 Nephrology. Allopathic & Osteopathic Physicians / Pediatric Nephrology is his primary health care specialty. Davis, Thomas Keefe can be contacted via phone (314) 454-6043.

Contact Information

Primary practice address
1 Childrens Pl Ste 2C And 2D Saint Louis MO 63110-1002
Phone: (314) 454-6043
Fax: (314) 454-4258
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 2008015429 Missouri
Allopathic & Osteopathic Physicians / Pediatric Nephrology 2080P0210X 2008015429 Missouri

Profile Details

NPI number 1124287420
LBN Legal business name Davis, Thomas Keefe
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 3rd, 2008
Last updated Jan 24th, 2018 - about 6 years 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 1124287420 NPPES
Illinois MEDICAID ENROLLED

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