ST. CHARLES NEPHROLOGY NPI 1396945168

NPI Information

  • NPI: 1396945168
  • Provider Name: ST. CHARLES NEPHROLOGY
  • Classification: Internal Medicine - 207RN0300X
  • Specialization: Nephrology
  • Entity Type: Organization
  • Address: 6 JUNGERMANN CIR
    SUITE 215
    SAINT PETERS, MO
    ZIP 63376
  • Phone: (636) 928-0123

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NPI Details

ST. CHARLES NEPHROLOGY is a nephrology internal medicine in Saint Peters, MO. The provider is an internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. ST. CHARLES NEPHROLOGY NPI is 1396945168. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6 JUNGERMANN CIR
SUITE 215
SAINT PETERS, MO
ZIP 63376-621
Phone: (636) 928-0123
Fax: (636) 928-0129

The provider's authorized official is Henrikas I Juknis .
The authorized official title is President and has the following contact phone number (636) 928-0123.

The enumeration date for this NPI number is 7/20/2007 and was last updated on 9/21/2020.

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
1207RN0300XInternal MedicineNephrology2000158727MISSOURIYes

What is NPI?

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

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