Kenneth Gerdes , Llc

LBN: Kenneth Gerdes , Llc
Kenneth Gerdes , Llc is an health care organization with primary practice located at 11155 Dunn Rd Suite 211N, Saint Louis MO 63136-6150. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Kenneth Gerdes , Llc can be contacted via phone (314) 432-2580, or through Jordan, Jacki via phone (314) 432-2580.

Contact Information

Primary practice address
11155 Dunn Rd Suite 211N Saint Louis MO 63136-6150
Phone: (314) 432-2580
Fax: (314) 991-8960
Website:
Map and Directions
Authorized official contact:
Name: Jordan, Jacki
Phone: (314) 432-2580

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 117124 Missouri

Profile Details

NPI number 1679514095
LBN Legal business name Kenneth Gerdes , Llc
DBA Doing business as
Authorized official Jordan, Jacki
Entity Organization
Organization subpart 1 No
Enumeration date Jun 9th, 2006
Last updated Apr 6th, 2016 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679514095 NPPES
Missouri MEDICAID 500745609
Missouri Other DE2084

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