Individual
DR. KENNETH S POLONSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
660 S EUCLID AVE, SAINT LOUIS, MO 63110-1010
(314) 362-3500
(314) 362-8015
Mailing address
660 S EUCLID AVE, C B 8066, SAINT LOUIS, MO 63110-1010
(314) 362-3500
(314) 362-8015
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
2000146135
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036055656
—
IL
05
—
204844203
—
MO
Enumeration date
07/14/2006
Last updated
07/16/2009
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