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

Dr. Keri Renhui Wallace, MD

Individual provider Neurology Physician · NPI 1467029140

Dr. Keri Renhui Wallace, MD is a Neurology Physician in Saint Louis, Missouri. Licensed in Missouri. Registered with an NPI since 2021.

Licensed in
MO
In the registry since
2021
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1 Childrens Pl Ste 2130
Saint Louis, MO 63110-1002
Phone: (314) 454-6120
Fax: (314) 454-4225
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 2021019874 (MO)
Neurology Physician Taxonomy 2084N0400X · Licence 2021019874 (MO)
Neurology with Special Qualifications in Child Neurology Physician Taxonomy 2084N0402X · Licence 2021019874 (MO)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence 2021019874 (MO)

Record details

NPI number1467029140
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 9, 2021
Last updated in NPPESJuly 29, 2025
Certification dateJuly 29, 2025

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