Doctor Name: | PHILLIP LEE KINTNER |
NPI Number: | 1578559084 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 036-076059 |
Business Practice Address: | 1103 W Liberty St Farmington, MO - 636401921 |
Business Phone Number: | 5737566751 |
Business Fax Number: | 5737566807 |
Mailing Address: | 670 Mason Ridge Center Dr, Ste 300 SAINT LOUIS |
State: | MO |
Postal Code: | 631418573 |
Phone Number: | 5737566751 |
Fax Number: | 5737566807 |
NPI Enumeration Date: | 09/21/2005 |
NPI Last Update Date: | 03/05/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207V00000X |
License Number: | 036-076059 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | IL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | |
Taxonomy Definition: | An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |