Medical Weight Management Specialists, Llc | |
111 Saint Lukes Center Dr Ste 44b Chesterfield MO 63017-3509 | |
(314) 205-1926 | |
(314) 205-1076 |
Full Name | Medical Weight Management Specialists, Llc |
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Speciality | Internal Medicine |
Location | 111 Saint Lukes Center Dr Ste 44b, Chesterfield, Missouri |
Authorized Official Name and Position | James Snider (V. P. PHYSICIAN NETWORK) |
Authorized Official Contact | 6366857804 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Medical Weight Management Specialists, Llc 121 Saint Lukes Center Dr Ste 200 Chesterfield MO 63017-3518 Ph: (636) 685-7804 | Medical Weight Management Specialists, Llc 111 Saint Lukes Center Dr Ste 44b Chesterfield MO 63017-3509 Ph: (314) 205-1926 |
NPI Number | 1891236360 |
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Provider Enumeration Date | 03/16/2017 |
Last Update Date | 12/06/2021 |
Medicare PECOS PAC ID | 5193092088 |
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Medicare Enrollment ID | O20170524002366 |
Identifier | Type | State | Issuer |
---|---|---|---|
1891236360 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
207RB0002X | Internal Medicine - Obesity Medicine | (* (Not Available)) | Primary |
Provider Name | Veronica Kim |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1710949458 PECOS PAC ID: 5597798025 Enrollment ID: I20050915000388 |
Provider Name | Hani Soudah |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1811935471 PECOS PAC ID: 2365455607 Enrollment ID: I20060803000149 |
Provider Name | Leah Ruth Kuhlmann |
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Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1750947727 PECOS PAC ID: 3678927043 Enrollment ID: I20231004000712 |
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