Schowengerdt, Kenneth O
Schowengerdt, Kenneth O is an individual health care provider with primary practice located at 1465 S Grand Blvd , Saint Louis MO 63104-1003. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Cardiology. Allopathic & Osteopathic Physicians / Pediatric Cardiology is his primary health care specialty. Schowengerdt, Kenneth O can be contacted via phone (314) 577-5380.Contact Information
Primary practice address
1465 S Grand Blvd
Saint Louis MO 63104-1003
Phone: (314) 577-5380
Fax: (314) 268-4141
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 2006010976 | Missouri |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | ME77796 | Florida |
| Allopathic & Osteopathic Physicians / Pediatric Cardiology | 2080P0202X | ME77796 | Florida |
| Allopathic & Osteopathic Physicians / Pediatric Cardiology | 2080P0202X | 2006010976 | Missouri |
Profile Details
| NPI number | 1477515641 |
|---|---|
| LBN Legal business name | Schowengerdt, Kenneth O |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 4th, 2006 |
| Last updated | Jan 12th, 2021 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1477515641 | NPPES |
| Florida | MEDICAID | 2522381-00 | |
| Florida | MEDICAID | 000755202B |
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