Individual
DR. KENNETH ERNEST MARCINIAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AUD
Contact information
Practice address
607 S NEW BALLAS RD STE 2300, SAINT LOUIS, MO 63141-8234
(314) 251-6394
(314) 251-4235
Mailing address
1010 OLD DES PERES RD, DES PERES, MO 63131-1865
(314) 722-4280
(314) 729-0101
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
2010020892
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1477864072
—
MO
Enumeration date
06/29/2010
Last updated
07/21/2022
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