Individual
CHRISTOPHER FREDERICK KENNEDY BISHOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BS
Contact information
Practice address
11133 DUNN RD, SAINT LOUIS, MO 63136-6163
(314) 452-8834
Mailing address
11133 DUNN RD, SAINT LOUIS, MO 63136-6163
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
U035047006
MO
Other
Enumeration date
11/09/2016
Last updated
11/09/2016
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