NPI 1134974645

Kenneth Daniel van Buren, CPS

Practitioner Peer Specialist Florissant, MO

Practice location

Address: 6854 Parker Rd, Florissant, MO 63033-5313
Phone: (314) 286-6988

Registered specialties

Peer Specialist Primary

Other Service Providers Taxonomy 175T00000X Licence 10764 (MO)

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Registry record

NPI: 1134974645
Entity type: Individual
Sex (as registered): Male
NPI issued: 18 Apr 2024
Record last updated: 18 Apr 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.