Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Interfaith Residence

Organization Infectious Disease Physician · NPI 1164235362

Interfaith Residence is an Infectious Disease Physician in Saint Louis, Missouri. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
3

Practice location Address checks out

1101 N Jefferson Ave
Saint Louis, MO 63106-2222
Phone: (314) 535-1919
Fax: (314) 535-0909
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Infectious Disease Physician (primary) Taxonomy 207RI0200X
Community Health Clinic/Center Taxonomy 261QC1500X
Primary Care Nurse Practitioner Taxonomy 363LP2300X

Record details

NPI number1164235362
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Opal Jones — President & Ceo · (314) 535-1919
Other names Key Clinic
NPI enumeratedJanuary 30, 2025
Last updated in NPPESDecember 29, 2025
Certification dateDecember 29, 2025
Mailing address1101 N Jefferson Ave, Saint Louis, MO 63106-2222

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