| Kints Llc | |
|
100 Chesterfield Business Pkwy Ste 200 Chesterfield MO 63005-1271 | |
| (636) 825-2200 | |
| (636) 825-2201 |
| Full Name | Kints Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 100 Chesterfield Business Pkwy Ste 200, Chesterfield, Missouri |
| Authorized Official Name and Position | Teide Brisibe Ehimare (OWNER) |
| Authorized Official Contact | 5736390057 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kints Llc 500 N Main St Ste 620 Roswell NM 88201-4767 Ph: (808) 909-2003 | Kints Llc 100 Chesterfield Business Pkwy Ste 200 Chesterfield MO 63005-1271 Ph: (636) 825-2200 |
| NPI Number | 1336772912 |
|---|---|
| Provider Enumeration Date | 02/21/2020 |
| Last Update Date | 08/08/2022 |
| Certification Date | 08/08/2022 |
| Medicare PECOS PAC ID | 4284064882 |
|---|---|
| Medicare Enrollment ID | O20200422002851 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336772912 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| Provider Name | Teide B Ehimare |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1982804704 PECOS PAC ID: 4789014382 Enrollment ID: I20200422003117 |
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