Individual
LAURENCE J KINSELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3660 VISTA, ST LOUIS, MO 63110
(314) 577-8738
(314) 268-5101
Mailing address
PO BOX 955534, SAINT LOUIS, MO 63195-5534
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
36709
MO
Other
Enumeration date
08/04/2006
Last updated
10/23/2020
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