| Km Group Llc | |
|
4390 Lindell Blvd Saint Louis MO 63108-2735 | |
| (314) 956-0547 | |
| Not Available |
| Full Name | Km Group Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 4390 Lindell Blvd, Saint Louis, Missouri |
| Authorized Official Name and Position | Kennth Mccain (LEAD COUNSELOR) |
| Authorized Official Contact | 3149560547 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Km Group Llc 4390 Lindell Blvd Saint Louis MO 63108-2735 Ph: (314) 956-0547 | Km Group Llc 4390 Lindell Blvd Saint Louis MO 63108-2735 Ph: (314) 956-0547 |
| NPI Number | 1679946115 |
|---|---|
| Provider Enumeration Date | 11/05/2015 |
| Last Update Date | 11/05/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679946115 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 2015010117 (Missouri) | Primary |
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