IndividualActive
Kwaku Manu
NPI 1255534574 · Contractor · Saint Louis, MO
Provider details
- NPI number
- 1255534574
- Entity type
- Individual
- Primary specialty
- ContractorOther Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 4947120001 (MO)
Specialties & taxonomies
Other Service Providers
Practice location
11863 Benham Rd
Saint Louis, MO 63138-1308
Phone: (413) 438-0033
Approximate (ZIP-level) locationGet directions
Mailing address
11863 Benham Rd
Saint Louis, MO 63138-1308
Registry dates
- Enumerated
- 2007-06-06
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.