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Contact Information

ANATOLIY KUZNETSOV, MD
4444 FOREST PARK AVE
STE 2600
SAINT LOUIS, MO63108-2212
 Phone: 314-286-1700
 Fax: 314-286-1777
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Child & Adolescent Psychiatry

2084P0804X 86 Physician/Neuropsychiatry
Indicates primary specialty

NPI Profile & details for ANATOLIY KUZNETSOV · (Male)

NPI Number 1265937080
Status Active
Credentials MD
Entity Individual
Enumeration date 03/25/2018
Last updated 04/17/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • MO License # 2023017506
  • MO Medicaid 200124791
Hospital affiliation(s)
  • RIVERVIEW MEDICAL CENTER - (Acute Care)
    ONE RIVERVIEW PLAZA
    RED BANK, NJ 07701
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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