Mr. Kevin A Nettesheim, DPM
Foot & Ankle Surgery Podiatrist in Saint Louis, Missouri
NPI 1366445314

Kevin A Nettesheim is a Foot & Ankle Surgery Podiatrist based in Saint Louis, MO and is specialized in Foot & Ankle Surgery. Kevin A Nettesheim practices in Saint Louis, MO and has the professional credentials of DPM. The NPI Number for Kevin A Nettesheim is 1366445314 and holds a License No. 000531 (Missouri).

The current practice location address for Kevin A Nettesheim is 4305 Butler Hill Rd Ste B, Saint Louis, MO and can be reached out via phone at 314-849-9009 and via fax at314-849-9004. You can also correspond with Kevin A Nettesheim through the mailing address at 4305 BUTLER HILL RD STE B, SAINT LOUIS, MO - 63128-3718 (mailing address contact number: 314-849-9009).

person
Provider Profile Details
NPI Number
1366445314
Provider Name
Kevin A Nettesheim
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
4305 Butler Hill Rd Ste B, Saint Louis, MO, 63128-3718
Phone Number
314-849-9009
Fax Number
314-849-9004
Provider Enumeration Date
05/23/2005
Last Update Date
04/28/2015
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Provider's Legacy Identifiers
Identifier Type State Issuer
104946-003 01 MO BLUE CROSS/BLUE SHIELD
107843 01 MO HEALTHLINK
4443980001 01 MO DMERC/CIGNA
308054006 05 MO
480033520 01 MO RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
4305 Butler Hill Rd Ste B
City
Saint Louis
State
Missouri
Zip
63128-3718
Phone Number
314-849-9009
Fax Number
314-849-9004
person
Provider Business Mailing Address Details
Address
4305 Butler Hill Rd Ste B
City
Saint Louis
State
Missouri
Zip
63128-3718
Phone Number
314-849-9009
Fax Number
314-849-9004
person
Provider's Primary Taxonomy Details
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
213ES0103X
License No.
000531 (Missouri)
Definition
Definition to come...

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