Individual
KEVIN BONIFACE NGOWI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6420 CLAYTON RD, SAINT LOUIS, MO 63117-1811
(314) 768-8778
Mailing address
6420 CLAYTON RD, SAINT LOUIS, MO 63117-1811
(314) 768-8778
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
2026021555
MO
Other
Enumeration date
05/20/2026
Last updated
05/20/2026
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