Individual
DR. KIRK HENDERSON BONNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4921 PARKVIEW PL, STE 6A/6B/12A, SAINT LOUIS, MO 63110-1032
(314) 747-2551
(314) 747-2598
Mailing address
660 S EUCLID AVE, CB 8233, SAINT LOUIS, MO 63110-1010
(314) 514-3500
(314) 747-2598
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
2022014906
MO
Other
Enumeration date
07/09/2018
Last updated
07/20/2022
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