Kimari, Samuel Mugwe

Kimari, Samuel Mugwe is an individual health care provider with primary practice located at 11838 Orletto Way , St.Louis MO 63138. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Kimari, Samuel Mugwe can be contacted via phone (314) 757-0269.

Contact Information

Primary practice address
11838 Orletto Way St.Louis MO 63138
Phone: (314) 757-0269
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 004135 Missouri

Profile Details

NPI number 1629340765
LBN Legal business name Kimari, Samuel Mugwe
Credentials OTR/L
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 6th, 2012
Last updated Feb 6th, 2012 - about 13 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 1629340765 NPPES
Illinois Other 056.004344 OCCUPATIONAL LICENSE

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