Individual provider · Type 1 NPI

Kevin James Lickenbrock, MD

Family Medicine Physician · St. Louis, MO

NPI number 1174643845 Active

Practice location

2900 Lemay Ferry Rd, Suite 100
St. Louis, MO 63125-3900

Call (314) 543-5294 Map

Mailing address

1159 Albany Ct
St. Louis, MO 63119-4733

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000X100453 (MO)

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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About NPI 1174643845

Kevin James Lickenbrock, MD's National Provider Identifier is 1174643845, issued on Mar 29, 2007. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in St. Louis, MO. The record was last updated on Jul 8, 2007.