Individual
DR. KEVIN W GERMINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1465 S GRAND BLVD, SAINT LOUIS, MO 63104-1003
(314) 577-5634
Mailing address
9155 SW BARNES RD, STE 420, PORTLAND, OR 97225-6631
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD177131
OR
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
036.124171
IL
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
2009011806
MO
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
60262136
WA
Other
Enumeration date
06/26/2007
Last updated
09/08/2016
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