Individual
DR. KEVIN CHARLES KAISER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MS
Contact information
Practice address
3890 S LINDBERGH BLVD STE 115, SAINT LOUIS, MO 63127-1391
(314) 843-5553
Mailing address
3890 S LINDBERGH BLVD STE 115, SAINT LOUIS, MO 63127-1391
(314) 843-5553
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
019.032003
IL
122300000X
Dentist
2016018478
MO
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
2016018478
MO
Other
Enumeration date
06/22/2016
Last updated
03/21/2019
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