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

St Louis Thoracic and Vascular Inc

Organization Specialist · NPI 1639204696

St Louis Thoracic and Vascular Inc is a Specialist in Saint Louis, Missouri. Licensed in Missouri. Registered with an NPI since 2007.

Licensed in
MO
In the registry since
2007
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

10004 Kennerly Rd Ste 186B
Saint Louis, MO 63128-2176
Phone: (314) 543-5939
Fax: (314) 543-5954
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 31077 (MO)

Record details

NPI number1639204696
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Russell Kraeger — Owner · (314) 543-5939
NPI enumeratedFebruary 22, 2007
Last updated in NPPESMay 4, 2009
Mailing address10004 Kennerly Rd, Sutie 186b, Saint Louis, MO 63128-2141

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