| Chk Compassion Care Llc | |
|
2880 Netherton Drive St Louis MO 63136 | |
| (314) 355-5300 | |
| (314) 355-1177 |
| Full Name | Chk Compassion Care Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 2880 Netherton Drive, St Louis, Missouri |
| Authorized Official Name and Position | Carmelita Maria Hudson-kane (INTERNAL MEDICINE PHYSICIAN) |
| Authorized Official Contact | 3143555300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chk Compassion Care Llc 2880 Netherton Drive Ste 200 St Louis MO 63136 Ph: (314) 355-5300 | Chk Compassion Care Llc 2880 Netherton Drive St Louis MO 63136 Ph: (314) 355-5300 |
| NPI Number | 1578705216 |
|---|---|
| Provider Enumeration Date | 03/26/2009 |
| Last Update Date | 06/21/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578705216 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 101365 (Missouri) | Secondary |
| 261QP2300X | Clinic/center - Primary Care | MD101365 (Missouri) | Primary |
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