Kevin R Mahoney
Surgeon Critical Care Medicine Trauma Surgeon
1225 S Grand Blvd Level 2
Saint Louis
, Missouri 63104-1016
Kevin R Mahoney
Surgeon Critical Care Medicine Trauma Surgeon
1225 S Grand Blvd Level 2
Saint Louis
, Missouri 63104-1016
(314) 977-1877
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About
Features
Specialties
- Critical Care Medicine
- Surgeon
- Trauma Surgeon
Languages spoken
- English
Location
First Address
- Kevin R Mahoney
- 1008 S Spring Ave Ste 1615
- Saint Louis, MO
- Zip : 63110-2520
- Fax : (314) 977-1877
- Phone : (314) 977-4717
Second Address
- Kevin R Mahoney
- 1225 S Grand Blvd Level 2
- Saint Louis, MO
- Zip : 63104-1016
- Fax : (314) 977-1877
- Phone : (314) 977-4440
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FAQs
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What type of doctor is Kevin R Mahoney
In what state does Kevin R Mahoney practice in?
Where is Kevin R Mahoney ’s practice located?
What is Kevin R Mahoney ’s gender?
Is Kevin R Mahoney a sole practitioner?
Is Kevin R Mahoney accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207RC0200X | Critical Care Medicine | 43940 | WI |
| N | 208200000X | Surgeon | 43940 | WI |
| N | 208600000X | Surgeon | 43940 | WI |
| Y | 2086S0127X | Trauma Surgeon | 2007020558 | MO |
National Provider Identifier
| NPI | 1386745115 |
|---|---|
| Provider Name | Kevin R Mahoney |
| First Address | Saint Louis, MO 63110-2520 |
| Second Address | Saint Louis, MO 63104-1016 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 26/09/2006 |
| Last Update Date | 08/02/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 208544213 | (05) | MO |
| 34148300 | (05) | WI |
| G15696 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.