Dr. Kenneth Dale Corwin , MD
General Practice • Saint Louis, MO
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Kenneth Corwin has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Kenneth Corwin, MD was a registered General Practice practicing in Saint Louis, MO. Throughout an active medical career spanning 11 years, Dr. Corwin provided care at the practice location at 77 WESTPORT PLZ until profile deactivation on 2018-06-14.
Practice Location & Contact Primary Location
77 Westport Plz
Suite365
Saint Louis, MO 631463107
Specialty Benchmarks & Practice Insights
Comparative analytics for General Practice in Saint Louis, MO
Practicing in Saint Louis, MO (221 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 208D00000X
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Dentist
Doctor of Dental Surgery
Dentist - Periodontics
Dentist - Periodontics
Doctor of Dental Surgery
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on June 14, 2018
NPI status registered as active in NPPES database
Registered at 77 WESTPORT PLZ, SUITE365, SAINT LOUIS, MO 631463107 (Tel: 3145761911)
Registered at 77 WESTPORT PLZ, SUITE365, SAINT LOUIS, MO 631463107 (Tel: 3145761911)
Recorded as KENNETH CORWIN, M.D.
General Practice (License #29950 in MO)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
77 Westport Plz, Suite365
Saint Louis, MO 631463107
Phone: 3145761911
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