Individual
DR. KEVIN SCOTT NACEANCENO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 BARNES JEW HOSP PLZ, SAINT LOUIS, MO 63110-1003
(314) 362-1935
Mailing address
660 SOUTH EUCLID AVENUE, CAMPUS BOX 8109, ST. LOUIS, MO 63110-1093
(314) 362-8028
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
2023022758
MO
Other
Enumeration date
06/20/2023
Last updated
06/20/2023
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