DR. KENNETH S POLONSKY MD NPI 1275559585

NPI Information

  • NPI: 1275559585
  • Provider Name: DR. KENNETH S POLONSKY, MD
  • Classification: Internal Medicine - 207RE0101X
  • Specialization: Endocrinology, Diabetes & Metabolism
  • Entity Type: Individual
  • Address: 660 S EUCLID AVE
    SAINT LOUIS, MO
    ZIP 63110
  • Phone: (314) 362-3500

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NPI Details

DR. Kenneth S Polonsky, MD is an endocrinology and diabetes and metabolism internal medicine in Saint Louis, MO. The provider is an internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. DR. Kenneth S Polonsky, MD NPI is 1275559585. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

660 S EUCLID AVE
SAINT LOUIS, MO
ZIP 63110-010
Phone: (314) 362-3500
Fax: (314) 362-8015

The enumeration date for this NPI number is 7/14/2006 and was last updated on 7/16/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RE0101XInternal MedicineEndocrinology, Diabetes & Metabolism2000146135MISSOURIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1036055656MEDICAIDILLINOIS
2E24732MEDICARE UPIN
3110203411MEDICARE PIN
4204844203MEDICAIDMISSOURI
5010710183MEDICARE PIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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