KENNETH J BENNETT MD
NPI 1225019318
Surgery in Saint Louis, MO

Active since November 07, 2005
675 OLD BALLAS RD, STE 100A, SAINT LOUIS, MO 63141(314) 569-2626(314) 569-1711 Get Directions Write a Review

NPPES record last updated: November 1, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kenneth J Bennett Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KENNETH J BENNETT MD (NPI 1225019318) is a healthcare organization registered as a surgery in Saint Louis, Missouri and active in the NPI registry since November 2005. The organization lists Kenneth J Bennett, President, as its authorized official.

NPPES Registry Identity

NPI1225019318
Entity TypeOrganization
Primary Taxonomy208600000X
Legal Business NameSURGICAL DIAGNOSTICS & THERAPY LLC
Location Address675 OLD BALLAS RD, STE 100ASaint Louis, MO 63141-7083
Mailing AddressPo Box 411220Saint Louis, MO 63141-1220 · (314) 569-2626 · Fax (314) 569-1711
Fax(314) 569-1711
Organization SubpartNo
Authorized OfficialKenneth J BennettPresident · (314) 569-2626
Enumeration DateNovember 7, 2005
Last NPPES UpdateNovember 1, 2007
NPI 1225019318 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License Licensed in MO · R4131
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
675 OLD BALLAS RD, Saint Louis, MO 63141

Other Names 1

Other NameKenneth J Bennett Md

Other Identifiers 1

Medicare UPINA10802

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner
675 OLD BALLAS RD, SUITE 210
SAINT LOUIS, MO 63141
Nurse Practitioner (Adult Health)
675 OLD BALLAS RD, SUITE 210
SAINT LOUIS, MO 63141
Physical Therapist
675 OLD BALLAS RD
CREVE COEUR, MO 63141
Physical Medicine & Rehabilitation
675 OLD BALLAS RD, SUITE 210
SAINT LOUIS, MO 63141
Physical Medicine & Rehabilitation (Sports Medicine)
675 OLD BALLAS RD, SUITE 210
SAINT LOUIS, MO 63141
Physical Therapist
675 OLD BALLAS RD
CREVE COEUR, MO 63141
Preventive Medicine (Occupational Medicine)
675 OLD BALLAS RD, SUITE 200
SAINT LOUIS, MO 63141
Plastic Surgery
675 OLD BALLAS RD, STE 102
CREVE COEUR, MO 63141

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Surgical Diagnostics & Therapy LLC's NPI number?

The NPI number for Surgical Diagnostics & Therapy LLC is 1225019318. It was assigned to this organization in the NPPES registry on November 7, 2005. The provider is also known as Kenneth J Bennett MD.

Where is Surgical Diagnostics & Therapy LLC located?

Surgical Diagnostics & Therapy LLC is located at 675 Old Ballas Rd Ste 100A, Saint Louis, MO 63141. The listed phone number is (314) 569-2626.

What is Surgical Diagnostics & Therapy LLC's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

When was this NPI record last updated?

The NPPES record for Surgical Diagnostics & Therapy LLC was last updated on November 1, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.