DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. KENNETH A ST. OURS, P.A.

Active

MR. KENNETH A ST. OURS, P.A. is a Physician Assistant healthcare provider located in LANHAM, Maryland. NPI 1245313816 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · LANHAM, MD

Registration Details

NPI Number
1245313816
Provider Type
Individual
Gender
Male
NPI Issued
Oct 24, 2006 (19.769526731165 yrs)
Last Updated
Oct 22, 2007
License
C0001047 (MD)

Practice Information

Address
8118 GOOD LUCK RD
LANHAM, MD, 207063595
Browse MD providers · Browse ZIP 20706
Phone
3014985990
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in LANHAM, MD

Name Credential NPI
ABRAHAM GEBREMICHAEL P.A. 1073573192
MR. JOHN GILBERT P.A.-C. 1699716951
ANGELA DE BONE PA-C 1053353193
MR. ROBERT GENE FACENTE PA-C 1801821020
MISS ROBENER AUDREY PHILLIPS PA 1982784757
JADE JAGGERS MPH, PA-C 1225112089
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.