Individual
DR. KENNETH WAYNE KLESH
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
621 S NEW BALLAS RD, SAINT LOUIS, MO 63141-8241
(314) 251-5860
(314) 251-5861
Mailing address
18108 BENT RIDGE DR, WILDWOOD, MO 63038-1435
(636) 458-4177
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
R8G17
MO
Other
Enumeration date
04/12/2006
Last updated
07/08/2007
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