Individual
FNU MANOJ KUMAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1901 BRIDGECREST XING, SAINT CHARLES, MO 63303-4814
(754) 302-4929
Mailing address
1901 BRIDGECREST XING, SAINT CHARLES, MO 63303-4814
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2021012495
MO
Other
Enumeration date
12/11/2025
Last updated
12/11/2025
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