Kimbell Kornu
Internist Hospice and Palliative Medicine
1201 S Grand Blvd
Saint Louis
, Missouri 63104-1016
Kimbell Kornu
Internist Hospice and Palliative Medicine
1201 S Grand Blvd
Saint Louis
, Missouri 63104-1016
(314) 977-3370
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About
Features
Specialties
- Internist
- Hospice and Palliative Medicine
Languages spoken
- English
Location
First Address
- Kimbell Kornu
- 1008 S Spring Ave Fl 2
- Saint Louis, MO
- Zip : 63110-2520
- Fax : (314) 977-3370
- Phone : (314) 977-8462
Second Address
- Kimbell Kornu
- 1201 S Grand Blvd
- Saint Louis, MO
- Zip : 63104-1016
- Phone : (314) 977-8462
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207R00000X | Internist | MD0000047954 | TN |
| N | 111NI0900X | Internist | MD0000047954 | TN |
| Y | 207RH0002X | Hospice and Palliative Medicine | 2015012454 | MO |
National Provider Identifier
| NPI | 1265675771 |
|---|---|
| Provider Name | Kimbell Kornu |
| 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 | 14/04/2009 |
| Last Update Date | 12/03/2021 |
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.