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Internal Medicine · Saint Louis, MO

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At a glance

10018 Kennerly Rd, Saint Louis, MO 63128-2106

NPPES record updated Aug 6, 2023. Public records can lag behind changes at a practice.

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  • Are you accepting new patients?
  • Do you accept my specific insurance plan?
  • Do you provide the service I need at this address?
  • Do I need a referral, and what is the earliest appointment?

Insurance participation and appointment availability are not established by these public records.

Practice location

10018 Kennerly Rd
Saint Louis, MO 63128-2106

Additional reported practice locations

1400 Us Highway 61
Festus, MO 630284100
Phone: 6369331000
4930 Lindell Blvd
Saint Louis, MO 631081510
Phone: 3143631870
1201 Garden Plaza Dr
Florissant, MO 630332230
Phone: 6365360285
Fax: 3147587279
Professional details: NPI, taxonomy & registry record
NPI1003990821
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Registry details

Primary taxonomy
Internal Medicine
Taxonomy code
207R00000X
Enumeration date
Oct 25, 2006
Record updated
Aug 6, 2023
More registry details
Provider type
Organization · Type 2

Reported taxonomies and licenses

Internal Medicine

207R00000X · Primary

License reported: 2003023195 MO

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

10018 Kennerly Rd
Saint Louis, MO 63128-2106
Phone
(636) 465-0544
Mailing address
PO BOX 270653

SAINT LOUIS, MO 631270653
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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