Individual
DR. KENNETH BRYAN TRIMMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
3023 N BALLAS RD STE 200D, SAINT LOUIS, MO 63131-2328
(314) 996-7272
Mailing address
3023 N BALLAS RD STE 200D, SAINT LOUIS, MO 63131-2328
(314) 996-7272
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
R8D06
MO
207RI0011X
Interventional Cardiology Physician
Primary
R8D06
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
242012102
—
MO
Enumeration date
06/12/2006
Last updated
05/19/2021
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