Organization
KINDRED HOSPITALS EAST, LLC
Active
Other names
Kindred Hospital - St. Louis
Organization subpart
No
Provider details
NPI number
Authorized official
JOHNETTA TRAYLOR (DIR LICENSURE & CERTIFICATION)
(502) 596-6063
Entity
Organization
Contact information
Practice address
4930 LINDELL BLVD, SAINT LOUIS, MO 63108-1510
(314) 361-8700
(314) 361-1210
Mailing address
4930 LINDELL BLVD, SAINT LOUIS, MO 63108-1510
(314) 361-8700
(314) 361-1210
Taxonomy
Speciality
Code
Description
License number
State
282E00000X
Long Term Care Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
013126404
—
MO
01
—
188
BLUE CROSS
MO
Enumeration date
11/01/2006
Last updated
04/22/2026
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