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

Kenneth Gerdes , LLC

Organization Specialist · NPI 1679514095

Kenneth Gerdes , LLC is a Specialist in Saint Louis, Missouri. Licensed in Missouri. Registered with an NPI since 2006.

Licensed in
MO
In the registry since
2006
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

11155 Dunn Rd Ste 211N
Saint Louis, MO 63136-6150
Phone: (314) 432-2580
Fax: (314) 991-8960
Show map & directions

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

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 117124 (MO)

Record details

NPI number1679514095
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jacki Jordan — Billing Manager · (314) 432-2580
NPI enumeratedJune 9, 2006
Last updated in NPPESDecember 10, 2024
Certification dateDecember 10, 2024
Mailing addressPo Box 1209, Maryland Heights, MO 63043-0209

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