Individual
KENYATTA EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3635 VISTA AT GRAND BLVD, 3RD FLOOR WEST PAVILLION, ROOM 320, ST. LOUIS, MO 63110-1571
(314) 268-7133
Mailing address
1256 PARMER DR, FLORISSANT, MO 63031-1964
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2010021896
MO
207P00000X
Emergency Medicine Physician
A123575
CA
Other
Enumeration date
07/16/2010
Last updated
06/25/2025
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