Individual
DR. KEVIN MICHAEL BAUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
972 KEHRS MILL RD, BALLWIN, MO 63011-2402
(636) 394-4101
(636) 394-3022
Mailing address
972 KEHRS MILL RD, BALLWIN, MO 63011-2402
(636) 394-4101
(636) 394-3022
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5590
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
179564
HEALTHLINK PPO
—
01
—
3378
BCBS
—
01
—
4402255
HEALTHCARE OF ALL STATES
—
01
—
T83472
MERCY HEALTH CARE
—
Enumeration date
11/20/2006
Last updated
03/10/2008
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