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

Dr. Kevin Scott Naceanceno, MD

Individual provider Surgery Physician · NPI 1356026199

Dr. Kevin Scott Naceanceno, MD is a Surgery Physician in Saint Louis, Missouri. Practices as a sole proprietor and works from 2 locations. Licensed in Missouri.

Licensed in
MO
In the registry since
2023
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 Barnes Jew Hosp Plz
Saint Louis, MO 63110-1003
Phone: (314) 362-1935
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 915 N Grand Blvd, Saint Louis, MO 63106-1621 — (314) 362-1935

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 2023022758 (MO)

Record details

NPI number1356026199
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 20, 2023
Last updated in NPPESJune 20, 2023
Certification dateJune 20, 2023

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