Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | 106295 | MO |
NPI | 1043328412 |
---|---|
Provider Name | Dr. Drupadi Kumar |
First Address | Creve Coeur, MO 63141-6094 |
Second Address | Creve Coeur, MO 63141-6094 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/08/2006 |
Last Update Date | 03/01/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
G779990 | (02) | MO |