Individual
DR. KENNETH O SCHOWENGERDT JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1465 S GRAND BLVD, SAINT LOUIS, MO 63104-1003
(314) 577-5380
(314) 268-4141
Mailing address
1465 S GRAND BLVD, SAINT LOUIS, MO 63104-1003
(314) 577-5380
(314) 268-4141
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
2006010976
MO
208000000X
Pediatrics Physician
ME77796
FL
2080P0202X
Pediatric Cardiology Physician
Primary
2006010976
MO
2080P0202X
Pediatric Cardiology Physician
ME77796
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000755202B
—
GA
05
—
2522381-00
—
FL
Enumeration date
04/04/2006
Last updated
01/12/2021
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