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KENNETH A HALLER MD
NPI 1679584304
Pediatrics in Saint Louis, MO

Active since August 10, 2006
1465 S GRAND BLVD, SAINT LOUIS, MO 63104(314) 268-4070(314) 268-4021 Get Directions Write a Review

NPPES record last updated: January 7, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 7, 2021, Jun 7, 2019 (2 updates tracked since 2019).

About Kenneth A Haller Md NPPES

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

KENNETH A HALLER MD (NPI 1679584304) is an individual pediatrics provider in Saint Louis, Missouri, licensed in Missouri (R4H97) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1679584304
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameKENNETH A HALLERCredential: MD
Location Address1465 S GRAND BLVDSaint Louis, MO 63104-1003
Mailing Address1465 S Grand BlvdSaint Louis, MO 63104-1003 · (314) 268-4070 · Fax (314) 268-4021
Phone(314) 268-4070
Fax(314) 268-4021
Sole ProprietorNo
Enumeration DateAugust 10, 2006
Last NPPES UpdateJanuary 7, 20212 updates tracked since enumeration
NPPES CertifiedJanuary 7, 2021
✔ NPI 1679584304 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in MO · R4H97
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
1465 S GRAND BLVD, Saint Louis, MO 63104
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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.

DR. SARAH MARGARET HANLY PH.D.
Psychologist (Clinical)
1465 S GRAND BLVD
SAINT LOUIS, MO 63104
St. Louis City (314) 577-5667
KAVIPRIYA KOMESWARAN
Pediatrics (Pediatric Critical Care Medicine)
1465 S GRAND BLVD
SAINT LOUIS, MO 63104
St. Louis City (314) 617-2000
ALEXIS HAAS STEWART
Anesthesiologist Assistant
1465 S GRAND BLVD
SAINT LOUIS, MO 63104
St. Louis City (314) 977-5700
NATALIE DRURY RD, LD
Dietitian, Registered (Nutrition, Pediatric)
1465 S GRAND BLVD
SAINT LOUIS, MO 63104
St. Louis City (314) 577-5387
TIMOTHY J KUTZ MD
Pediatrics (Child Abuse Pediatrics)
1465 S GRAND BLVD
SAINT LOUIS, MO 63104
St. Louis City (314) 268-6406
CHRISTOPHER SALLEE MD
Pediatrics
1465 S GRAND BLVD
ST. LOUIS, MO 63104
St. Louis City (314) 577-1607
AMBER GRANA DO
Pediatrics (Pediatric Critical Care Medicine)
1465 S GRAND BLVD, DIVISION OF PEDIATRIC CRITICAL CARE
SAINT LOUIS, MO 63104
St. Louis City (314) 577-5695
DR. ETHAN EMIL PFEIFER MD
Student in an Organized Health Care Education/Training Program
1465 S GRAND BLVD
SAINT LOUIS, MO 63104
St. Louis City (314) 268-4070

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 Haller's NPI number?

The NPI number for Kenneth Haller is 1679584304. It was assigned to this individual provider in the NPPES registry on August 10, 2006.

Where is Kenneth Haller located?

Kenneth Haller practices at 1465 S Grand Blvd, Saint Louis, MO 63104. The listed phone number is (314) 268-4070.

What is Kenneth Haller's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

What insurance does Kenneth Haller accept?

Health plans from Anthem Blue Cross and Blue Shield list Kenneth Haller 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 Haller was last updated on January 7, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.