Individual
KENTO SONODA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., A.A.H.I.V.S.
Contact information
Practice address
1225 S GRAND BLVD FL 2, SAINT LOUIS, MO 63104-1016
(314) 617-2510
(314) 768-6605
Mailing address
1008 S. SPRING AVE, SLUCARE ACADEMIC PAVILION, 3RD FLOOR, FAMILY AND COMMUNITY MEDICINE, SAINT LOUIS, MO 63110
(314) 977-8480
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2022007809
MO
207Q00000X
Family Medicine Physician
MD475598
PA
207Q00000X
Family Medicine Physician
MT216745
PA
207QA0401X
Addiction Medicine (Family Medicine) Physician
2022007809
MO
Other
Enumeration date
06/19/2018
Last updated
01/27/2025
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