Individual
SAMUEL MUGWE KIMARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
11838 ORLETTO WAY, ST.LOUIS, MO 63138
(314) 757-0269
Mailing address
11838 ORLETTO WAY, ST.LOUIS, MO 63138
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
004135
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
056.004344
OCCUPATIONAL LICENSE
IL
Enumeration date
02/06/2012
Last updated
02/06/2012
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