Individual
KEVIN JAMES QUIGLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2299 TECHNOLOGY DR STE 130, O FALLON, MO 63368-7342
(636) 695-0400
(636) 916-9456
Mailing address
PO BOX 959354, SAINT LOUIS, MO 63195-9354
(636) 695-0400
(636) 916-9456
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
2009001467
MO
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
2009001467
MO
Other
Enumeration date
06/14/2007
Last updated
05/05/2026
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