Individual
DR. KEVIN LA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
4901 FOREST PARK AVE, DEPT OPHTHALMOLOGY, 6TH FL, SAINT LOUIS, MO 63108-1495
(314) 362-3937
(314) 362-3725
Mailing address
PO BOX 60352, SAINT LOUIS, MO 63160-0352
(314) 362-3937
(314) 362-3725
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2023032623
MO
Other
Enumeration date
04/28/2023
Last updated
04/25/2024
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