person
Dr. Kevin O Easley, MD
Gynecologic Oncology Physician in St Louis, Missouri
NPI 1154385417

Kevin O Easley is a Gynecologic Oncology Physician based in St Louis, MO and is specialized in Gynecologic Oncology. Kevin O Easley practices in St Louis, MO and has the professional credentials of MD. The NPI Number for Kevin O Easley is 1154385417 and holds a License No. 105787 (Missouri).

The current practice location address for Kevin O Easley is 12855 North Forty Dr, St Louis, MO and can be reached out via phone at 314-628-1210 and via fax at 314-628-1220.

Location: 12855 North Forty Dr, St Louis, MO, 63141
person
Provider Profile Details
NPI Number
1154385417
Provider Name
Kevin O Easley
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
12855 North Forty Dr, St Louis, MO, 63141
Phone Number
314-628-1210
Fax Number
314-628-1220
Provider Enumeration Date
04/13/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
431787580 01 GREAT WEST
332932 01 HEALTHLINK
431787580 01 GOLDEN RULE
54920 01 CMR
C83613 01 MERCY
3605461 01 MEDICARE COMPLETE
431787580 01 MO UNITED HEALTHCARE
4915117001 01 CIGNA
54920 01 GROUP HEALTH PLAN
207950916 05 MO
110257 01 MO BCBS
P00007539 01 RR MEDICARE
institution
Provider Business Practice Location Address Details
Address
12855 North Forty Dr
City
State
Zip
63141
Phone Number
314-628-1210
Fax Number
314-628-1220
person
Provider Business Mailing Address Details
Address
12855 North Forty Dr
City
State
Zip
63141
Phone Number
314-628-1210
Fax Number
314-628-1220
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
Gynecologic Oncology
Taxonomy
License No.
105787 (Missouri)
Definition
An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications.
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