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

Kirkwood Diagnostic & Orthopedic Associates, LLC

Organization Sports Medicine (Family Medicine) Physician · NPI 1295839702

Kirkwood Diagnostic & Orthopedic Associates, LLC is a Sports Medicine (Family Medicine) Physician 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

333 S Kirkwood Rd Ste 203
Saint Louis, MO 63122-6161
Phone: (314) 909-1666
Fax: (314) 909-7406
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Medicine (Family Medicine) Physician (primary) Taxonomy 207QS0010X · Licence 109216 (MO)

Record details

NPI number1295839702
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Dave Horace — Business Manager · (314) 909-1666
NPI enumeratedSeptember 13, 2006
Last updated in NPPESAugust 22, 2020
Mailing address333 S Kirkwood Rd, Suite 203, Saint Louis, MO 63122-6161

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