Individual
DR. DANIEL L KITCHENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3009 N BALLAS RD, STE 304A, SAINT LOUIS, MO 63131-2323
(314) 842-2100
(314) 843-0164
Mailing address
3009 N BALLAS RD, STE 304A, SAINT LOUIS, MO 63131-2323
(314) 842-2100
(314) 843-0164
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
036095071
IL
207T00000X
Neurological Surgery Physician
Primary
36990
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
006022
EXCLUSIVE CHOICE
MO
01
—
140006174
MEDICARE RAILROAD
MO
01
—
2112785
AETNA
—
01
—
2533
BLUE CROSS BLUE SHIELD
MO
Enumeration date
06/22/2005
Last updated
10/01/2025
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