Organization
ST LOUIS NEPHROLOGY ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GOPAL KRISHNAN MD (CEO)
(314) 843-3449
Entity
Organization
Contact information
Practice address
10004 KENNERLY RD STE 361B, SAINT LOUIS, MO 63128-2141
(314) 843-3449
(314) 843-8762
Mailing address
PO BOX 840132, KANSAS CITY, MO 64184-0132
(314) 843-3449
(314) 843-8762
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CS0823
RAILROAD MEDICARE
—
Enumeration date
06/20/2006
Last updated
09/16/2025
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