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Individual

DR. KEVIN TANG BARTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1 CHILDRENS PL, DIV PED NEPHROLOGY, SAINT LOUIS, MO 63110-1002
(314) 454-6043
(888) 463-6898
Mailing address
PO BOX 60352, SAINT LOUIS, MO 63160-0352
(314) 454-6043
(888) 463-6898

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
2010024504
MO
2080P0210X
Pediatric Nephrology Physician
Primary
2010024504
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
205601107
MO
Enumeration date
02/02/2008
Last updated
04/25/2024
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