Individual
DR. KEVIN L. THRELKELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
121 SAINT LUKES CENTER DR STE 402, CHESTERFIELD, MO 63017-3519
(314) 205-6160
(314) 590-5918
Mailing address
121 SAINT LUKES CENTER DR STE 402, CHESTERFIELD, MO 63017-3519
(314) 205-6160
(314) 590-5918
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MDR5P58
MO
207R00000X
Internal Medicine Physician
R5P58
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
207969510
—
MO
Enumeration date
03/12/2006
Last updated
12/04/2020
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