Individual
LEVI S KIRKLAND JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1034 S BRENTWOOD BLVD, SUITE 694, SAINT LOUIS, MO 63117-1223
(314) 644-1411
(314) 644-1606
Mailing address
P O BOX 6193, CHESTERFIELD, MO 63006-6193
(314) 644-1411
(314) 644-1606
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
036095002
IL
208600000X
Surgery Physician
Primary
R9J09
MO
Other
Enumeration date
06/13/2005
Last updated
01/15/2015
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