Evans, Kenyatta
Evans, Kenyatta is an sole proprietor health care provider with primary practice located at 3635 Vista At Grand Blvd, 3Rd Floor West Pavillion Room 320, St. Louis MO 63110-1571. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Evans, Kenyatta can be contacted via phone (314) 268-7133.Contact Information
Primary practice address
3635 Vista At Grand Blvd, 3Rd Floor West Pavillion Room 320
St. Louis MO 63110-1571
Phone: (314) 268-7133
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 2010021896 | Missouri |
Profile Details
NPI number | 1972816106 |
---|---|
LBN Legal business name | Evans, Kenyatta |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jul 16th, 2010 |
Last updated | Jul 16th, 2010 - about 14 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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