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

Kevin James Lickenbrock, MD

Individual provider Family Medicine Physician · NPI 1174643845

Kevin James Lickenbrock, MD is a Family Medicine Physician 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?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

2900 Lemay Ferry Rd Ste 100
Saint Louis, MO 63125-3900
Phone: (314) 543-5294
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 100453 (MO)

Record details

NPI number1174643845
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 29, 2007
Last updated in NPPESJuly 8, 2007

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