Individual
LENNY KAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9715 OLIVE BLVD STE C, SAINT LOUIS, MO 63132-3004
(314) 913-9990
(314) 755-1030
Mailing address
9715 OLIVE BLVD STE C, SAINT LOUIS, MO 63132-3004
(314) 913-9990
(314) 755-1030
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
MO
Other
Enumeration date
11/27/2023
Last updated
11/27/2023
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