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

Kenneth J Bennett, MD

Individual provider Specialist · NPI 1528257698

Kenneth J Bennett, MD is a Specialist in St. Louis, Missouri. Practices as a sole proprietor. Licensed in Missouri.

Licensed in
MO
In the registry since
2007
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

1040 N Mason Rd Ste G-03
St. Louis, MO 63141
Phone: (314) 878-7899
Fax: (314) 205-1020
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Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence R4131 (MO)

Record details

NPI number1528257698
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedOctober 15, 2007
Last updated in NPPESAugust 6, 2009
Mailing address1040 N Mason Rd, Ste G-03, Saint Louis, MO 63141-6399

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