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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 15 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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