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KENNETH GERDES , LLC
NPI 1679514095
Specialist in Saint Louis, MO

Active since June 09, 2006
11155 DUNN RD, SUITE 211N, SAINT LOUIS, MO 63136(314) 432-2580(314) 991-8960 Get Directions Write a Review

NPPES record last updated: December 10, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kenneth Gerdes , Llc NPPES

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

KENNETH GERDES , LLC (NPI 1679514095) is a healthcare organization registered as a specialist in Saint Louis, Missouri and active in the NPI registry since June 2006. The organization lists Jacki Jordan, Billing Manager, as its authorized official.

NPPES Registry Identity

NPI1679514095
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameKENNETH GERDES , LLC
Location Address11155 DUNN RD, SUITE 211NSaint Louis, MO 63136-6150
Mailing AddressPo Box 1209Maryland Heights, MO 63043-0209 · (314) 432-2580 · Fax (314) 991-8960
Phone(314) 432-2580
Fax(314) 991-8960
Organization SubpartNo
Authorized OfficialJacki JordanBilling Manager · (314) 432-2580
Enumeration DateJune 9, 2006
Last NPPES UpdateDecember 10, 2024
NPPES CertifiedDecember 10, 2024
✔ NPI 1679514095 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in MO · 117124
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
11155 DUNN RD, Saint Louis, MO 63136
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Other Identifiers 2

Medicaid500745609MO
OtherDE2084MO · Rr Mcr Group Prov#

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.Insurance ›

Other Providers at the Same Location NPPES 20

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

MIDWEST ACUTE CARE CONSULTANTS, PC
Internal Medicine (Critical Care Medicine)
11155 DUNN RD, STE: 315E
SAINT LOUIS, MO 63136
St. Louis County (314) 355-7500
MS. MICHELLE LYNN HEFFRON AHCNS
Clinical Nurse Specialist (Medical-Surgical)
11155 DUNN RD
SAINT LOUIS, MO 63136
St. Louis County (314) 355-3003
MARY WEST R.N.
Registered Nurse
11155 DUNN RD, STE 304E
SAINT LOUIS, MO 63136
St. Louis County (314) 741-0911
MS. CHRISTINE FRANCES KUEHNEL ACNP
Nurse Practitioner (Gerontology)
11155 DUNN RD, DIV SUR ACCS, STE 108N
SAINT LOUIS, MO 63136
St. Louis County (314) 362-5298
SUBASH JOSHI, MD
Specialist
11155 DUNN RD, SUITE 105N
SAINT LOUIS, MO 63136
St. Louis County (314) 355-0811
RICK HUMMEL MD PC
Internal Medicine
11155 DUNN RD, 201N
ST LOUIS, MO 63136
St. Louis County (314) 741-1400
ST LOUIS HEART AND VASCULAR P.C.
Clinic/Center
11155 DUNN RD, SUITE 304E
SAINT LOUIS, MO 63136
St. Louis County (314) 741-0911
DR. GEORGE M KICHURA M.D.
Internal Medicine (Interventional Cardiology)
11155 DUNN RD, SUITE 304E
SAINT LOUIS, MO 63136
St. Louis County (314) 741-0911

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 Kenneth Gerdes , LLC's NPI number?

The NPI number for Kenneth Gerdes , LLC is 1679514095. It was assigned to this organization in the NPPES registry on June 9, 2006.

Where is Kenneth Gerdes , LLC located?

Kenneth Gerdes , LLC is located at 11155 Dunn Rd Suite 211N, Saint Louis, MO 63136. The listed phone number is (314) 432-2580.

What is Kenneth Gerdes , LLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

What insurance does Kenneth Gerdes , LLC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 2 other insurers list Kenneth Gerdes , LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kenneth Gerdes , LLC was last updated on December 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.