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

St Louis Kidney, LLC

Organization Nephrology Physician · NPI 1730593757

St Louis Kidney, LLC is a Nephrology Physician in Creve Coeur, Missouri. Registered with an NPI since 2014.

In the registry since
2014
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

456 N New Ballas Rd Ste 348
Creve Coeur, MO 63141-6846
Phone: (314) 548-0265
Fax: (314) 548-6555
Show map & directions

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

Specialties & licences

Nephrology Physician (primary) Taxonomy 207RN0300X

Record details

NPI number1730593757
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Derek Larson — Owner · (314) 548-0265
NPI enumeratedJune 18, 2014
Last updated in NPPESSeptember 30, 2025
Certification dateSeptember 30, 2025
Mailing addressPo Box 78429, Saint Louis, MO 63178-8429

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