Individual
MR. ADAM KENT PEERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
4921 PARKVIEW PL FL 7, 7TH FL, SAINT LOUIS, MO 63110-1032
(314) 747-1171
(314) 362-3192
Mailing address
660 S EUCLID AVE, C B 8056, SAINT LOUIS, MO 63110-1010
(314) 747-1171
(314) 362-3192
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2007020798
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1790049948
—
MO
05
—
ENROLLED
—
IL
Enumeration date
07/02/2012
Last updated
01/29/2018
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