Kevin Lickenbrock, M.D

NPI 1174643845 · on the registry since 2007

Practice

Address: 2900 Lemay Ferry Rd
Suite 100
Saint Louis, MO 63125
Phone: (314) 543-5294
Organisation at this address: Medcomp, Llc
Triad Labs Inc
R F Morgan Md Llc
Ams Medical Laboratory
Winkelmann Sons Drug Co
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 16

Registry record

Primary taxonomy: 207Q00000X
207Q00000X
Licence states on file: MO
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri