Individual
KABEYA MWINTSHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10004 KENNERLY RD, SUITE 374B, SAINT LOUIS, MO 63128-2141
(314) 842-9669
(314) 842-1017
Mailing address
10004 KENNERLY RD, SUITE 374B, SAINT LOUIS, MO 63128-2141
(314) 842-9669
(314) 842-1017
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
2006001779
MO
207RN0300X
Nephrology Physician
Primary
200600001779
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1316994460
—
MO
Enumeration date
05/27/2006
Last updated
12/21/2023
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