Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KENNETH DANIEL VAN BUREN I, CPS
ActiveKENNETH DANIEL VAN BUREN I, CPS is a Peer Specialist healthcare provider located in FLORISSANT, Missouri. NPI 1134974645 is currently active in the NPPES registry. Verify at CMS.
Peer Specialist · FLORISSANT, MO
Registration Details
- NPI Number
- 1134974645
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 18, 2024 (2.3509261093805 yrs)
- Last Updated
- Apr 18, 2024
- License
-
10764 (MO)
Practice Information
- Address
-
6854 PARKER RDFLORISSANT, MO, 630335313Browse MO providers · Browse ZIP 63033
- Phone
- 3142866988
- Primary Specialty
-
Peer Specialist
175T00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.