Individual
KEMIN CHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
11445 OLIVE BLVD, CREVE COEUR, MO 63141-7108
(314) 428-9543
(314) 428-9542
Mailing address
11445 OLIVE BLVD, CREVE COEUR, MO 63141-7108
(314) 428-9543
(314) 428-9542
Taxonomy
Speciality
Code
Description
License number
State
1744R1102X
Research Study Specialist
—
—
208D00000X
General Practice Physician
2014038545
MO
363A00000X
Physician Assistant
085.005369
IL
363A00000X
Physician Assistant
Primary
2014038545
MO
Other
Enumeration date
07/15/2009
Last updated
01/29/2020
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