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

Kenneth Hall Regional Hospital, Inc

Organization Internal Medicine Physician · NPI 1568473510

Kenneth Hall Regional Hospital, Inc is an Internal Medicine Physician in East Saint Louis, Illinois. Licensed in Illinois. Registered with an NPI since 2006.

Licensed in
IL
In the registry since
2006
Specialties on file
4
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

129 N 8th St
East Saint Louis, IL 62201-2917
Phone: (618) 482-7044
Fax: (618) 482-7018
Show map & directions

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

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X (IL)
Pulmonary Disease Physician Taxonomy 207RP1001X (IL)
Otolaryngology Physician Taxonomy 207Y00000X (IL)
Surgery Physician Taxonomy 208600000X (IL)

Record details

NPI number1568473510
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael McManus — Coo · (618) 332-5212
NPI enumeratedAugust 11, 2006
Last updated in NPPESDecember 10, 2007
Mailing address1836 Lackland Hill Pkwy, Saint Louis, MO 63146-3572

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