Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XX0005X | Sports Medicine Orthopaedic Surgeon | 2008012502 | MO |
NPI | 1134344922 |
---|---|
Provider Name | Scott Geoffrey Kaar |
First Address | St Louis, MO 63104 |
Second Address | St Louis, MO 63141 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/04/2007 |
Last Update Date | 02/03/2021 |