Kevin L. Threlkeld, M.d., LLC

NPI #1023195351 in O Fallon, Missouri

Provider Information

NPI Number
1023195351
Entity Type
Organization
Organization Name
Kevin L. Threlkeld, M.d., LLC
Primary Specialty
Internal Medicine
Enumeration Date
Nov 1, 2006
Last Updated
Oct 10, 2019

Practice Location

Address
204 N MAIN ST
ZIP Code
63366-2203
Phone
(636) 240-3420

Authorized Official

Name
KEVIN L THRELKELD, MD
Title
PHYSICIAN REGISTERED AGENT
Phone
(636) 390-1854

Specialties & Taxonomy Codes

Specialty
Internal Medicine

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