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

Dr. Kyle J Eash, MDPHD

Individual provider Dermatology Physician · NPI 1790072395

Dr. Kyle J Eash, MDPHD is a Dermatology in Wentzville, Missouri. Graduated from Washington University School of Medicine in 2011, 15 years ago. Practices with SSM Health Care Group, a 923-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
15
Trained at
Washington University School of Medicine
Licensed in
MO
In the registry since
2011
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Practice location Address checks out

1603 Wentzville Pkwy Ste 123
Wentzville, MO 63385-3826
Phone: (636) 695-0300
Fax: (636) 695-0301
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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) 652-4100

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 2015018653 (MO)

Record details

NPI number1790072395
Entity typeIndividual (Type 1)
GenderMale
Credentials MDPHD
Sole proprietorNo
NPI enumeratedJuly 2, 2011
Last updated in NPPESMay 27, 2024
Certification dateMay 27, 2024
Mailing address1008 S Spring Ave Fl 3, Saint Louis, MO 63110-2520

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDERMATOLOGY
Medical schoolWASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Graduated 2011 (15 years in practice)
Group practice Ssm Health Care Group — 923 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Wentzville