Individual
KEVIN KON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
3631 GRAVOIS AVE, SAINT LOUIS, MO 63116-4727
(314) 772-4446
Mailing address
3631 GRAVOIS AVE, SAINT LOUIS, MO 63116-4727
(314) 772-4446
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2019025934
MO
Other
Enumeration date
08/12/2020
Last updated
08/12/2020
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