Individual
MR. KEVIN LAWRENCE DOYLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW, LCSW
Contact information
Practice address
10820 SUNSET OFFICE DR, SUITE 204, SAINT LOUIS, MO 63127-1016
(314) 965-7494
(314) 965-9970
Mailing address
10820 SUNSET OFFICE DR, SUITE 204, SAINT LOUIS, MO 63127-1016
(314) 965-7494
(314) 965-9970
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
005242
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
113869
BCBS OF MO PROV ID
MO
Enumeration date
03/07/2007
Last updated
07/09/2007
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