Individual
KIRAN K CHENNAREDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10010 KENNERLY RD, 3 SOUTHBRIDGE, SAINT LOUIS, MO 63128-2106
(314) 525-1328
(314) 525-1378
Mailing address
10010 KENNERLY RD, 3 SOUTHBRIDGE, SAINT LOUIS, MO 63128-2106
(314) 525-1328
(314) 525-1378
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0101237799
VA
207Q00000X
Family Medicine Physician
Primary
2015010976
MO
Other
Enumeration date
05/27/2006
Last updated
03/14/2017
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