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NPI Code Detail

MEDICARE: DR. KRISTEN L. ROWE M.D.

MEDICARE:  DR. KRISTEN L. ROWE  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208000000XPediatrics Physician23869SC
2208000000XPediatrics Physician2007033674MO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11356644306OTHERMOURGENT CARE FOR KIDS NPI
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1811997505
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KRISTEN L. ROWE M.D.
Provider Business Mailing Address
First Line : 1413 WENTZVILLE PKWY
Second Line :
City : WENTZVILLE
State : MO
Zip : 63385-3407
Country : US
Telephone Number : 636-332-5400
Fax Number : 636-332-5404
Provider Business Practice Location Address
First Line : 300 MEDICAL PLZ
Second Line : SUITE 310
City : LAKE ST LOUIS
State : MO
Zip : 63367-1481
Country : US
Telephone Number : 636-625-2662
Fax Number : 636-625-6623
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/26/2005
Last Update Date : 09/02/2011

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Directions to “ DR. KRISTEN L. ROWE M.D.” Practice Location

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