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DR. THOMAS PATRICK KUCIEJCZYK-KERNAN M.D. NPI 1669478970


NPI Information

NPI: 1669478970
Provider Name: DR. THOMAS PATRICK KUCIEJCZYK-KERNAN, M.D.
Classification: Family Medicine - 207Q00000X
Entity Type: Individual
Organization: AFFINIA HEALTHCARE

PECOS Registration: Yes

Address:
3930 S BROADWAY
SAINT LOUIS, MO
ZIP 63118
Phone: (314) 898-1700
Get Directions

DR. Thomas Patrick Kuciejczyk-kernan, M.D. is a family medicine in Saint Louis, MO with 35 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR. Thomas Patrick Kuciejczyk-kernan, M.D. NPI is 1669478970. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: SAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1989

The provider's business location address is:

3930 S BROADWAY
SAINT LOUIS, MO
ZIP 63118-626
Phone: (314) 898-1700
Fax: (314) 814-8542

The NPI 1669478970 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/22/2005 and was last updated on 9/1/2016.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12084P0015XPsychiatry & NeurologyPsychosomatic MedicineR6J90MISSOURINo
2207Q00000XFamily MedicineR6J90MISSOURIYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1202710109MEDICAIDMISSOURI
2E14107MEDICARE UPIN
320010422MEDICARE 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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.