Individual
TRENT WILLIAM KANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
621 S NEW BALLAS RD STE 297A, SAINT LOUIS, MO 63141-8200
(314) 251-6364
Mailing address
16511 WILD HORSE CREEK RD APT 313, CHESTERFIELD, MO 63017-1436
(407) 567-8041
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2023036248
MO
Other
Enumeration date
05/01/2023
Last updated
10/27/2023
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