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Individual

KAMAL R DEMETRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4438 TELEGRAPH RD, SAINT LOUIS, MO 63129-3316
(314) 742-6000
Mailing address
4438 TELEGRAPH RD, SAINT LOUIS, MO 63129-3316
(314) 742-6000

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
036-094350
IL
207P00000X
Emergency Medicine Physician
105483
MO
207P00000X
Emergency Medicine Physician
ME83088
FL
207R00000X
Internal Medicine Physician
Primary
105483
MO

Other

Enumeration date
07/13/2006
Last updated
02/09/2022
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