Woods Mill Pediatric and Adolescent Medicine, LLC

NPI #1538374384 in Chesterfield, Missouri

Provider Information

NPI Number: 1538374384
Entity Type: Organization
Organization Name: Woods Mill Pediatric and Adolescent Medicine, LLC
Primary Specialty: Pediatrics
Enumeration Date: May 14, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 226 S WOODS MILL RD
Address 2: SUITE36W
City: Chesterfield
State: Missouri
ZIP Code: 63017-3662
Phone: (314) 453-9666

Authorized Official

Name: DR. KENNETH C LEVY, M.D.
Title: MEDICAL DOCTOR
Phone: (314) 453-9666

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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