IndividualActive
Kevin Boatright
NPI 1629185103 · Allergy & Immunology Physician · Farmington, MO
Provider details
- NPI number
- 1629185103
- Entity type
- Individual
- Primary specialty
- Allergy & Immunology PhysicianAllopathic & Osteopathic Physicians
- Sex
- Male
- Sole proprietor
- No
- License
- R7D62 (MO)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
301 N Washington St
Suite 5
Farmington, MO 63640-1751
Phone: (573) 756-1744
Fax: (573) 756-2499
Approximate (ZIP-level) locationGet directions
Mailing address
670 Mason Ridge Center Dr
Saint Louis, MO 63141-8573
Registry dates
- Enumerated
- 2006-08-23
- Last updated
- 2012-11-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.