Individual
DR. KENNETH M LUDMERER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 BARNES JEWISH HOSPITAL PLZ, SAINT LOUIS, MO 63110-1003
(314) 747-3000
(314) 454-5113
Mailing address
660 S EUCLID AVE, CB 8066, SAINT LOUIS, MO 63110-1010
(314) 747-3000
(314) 454-5113
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
R6604
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201196300
—
MO
Enumeration date
07/14/2006
Last updated
11/12/2021
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