Individual
DR. CHRISTIAN C NWANKWO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10004 KENNERLY RD, SUITE 374B, SAINT LOUIS, MO 63128-2141
(314) 842-9669
(314) 842-1017
Mailing address
PO BOX 802841, KANSAS CITY, MO 64180-2841
(314) 842-9669
(314) 842-1017
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2007007870
MO
207RN0300X
Nephrology Physician
Primary
2010019786
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1679772198
—
MO
Enumeration date
07/13/2007
Last updated
10/02/2023
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