Organization
KINTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TEIDE BRISIBE EHIMARE MD (OWNER)
(573) 639-0057
Entity
Organization
Contact information
Practice address
100 CHESTERFIELD BUSINESS PKWY STE 200, CHESTERFIELD, MO 63005-1271
(636) 825-2200
(636) 825-2201
Mailing address
500 N MAIN ST STE 620, ROSWELL, NM 88201-4767
(808) 909-2003
(808) 909-2004
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
02/21/2020
Last updated
08/08/2022
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