Kichura, George M

Kichura, George M is an individual health care provider with primary practice located at 11155 Dunn Rd Suite 304E, Saint Louis MO 63136-6150. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Kichura, George M can be contacted via phone (314) 741-0911.

Contact Information

Primary practice address
11155 Dunn Rd Suite 304E Saint Louis MO 63136-6150
Fax: (314) 653-3671
Website:

Health care specialties

Profile Details

NPI number 1114903507
LBN Legal business name Kichura, George M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 19th, 2005
Last updated Dec 6th, 2021 - about 3 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1114903507 NPPES
Missouri MEDICAID 207725672
Missouri MEDICAID 65466808

Popular Providers