Organization
JEFFREY A. VANDER KOOI LLC
Active
Other names
Jeffrey A. Vander Kooi LLC, VK Psychiatry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY A. VANDER KOOI M.D. (PSYCHIATRIST)
(636) 778-9427
Entity
Organization
Contact information
Practice address
16100 CHESTERFIELD PKWY W STE 260, CHESTERFIELD, MO 63017-4836
(636) 778-9427
(636) 778-9632
Mailing address
16100 CHESTERFIELD PKWY W STE 260, CHESTERFIELD, MO 63017-4836
(636) 778-9427
(636) 778-9632
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201053204
—
MO
Enumeration date
08/29/2006
Last updated
05/16/2024
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