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

Kevin L Shady, MD

Individual provider Diagnostic Radiology Physician · NPI 1245317304

Kevin L Shady, MD is a Diagnostic Radiology Physician in Saint Louis, Missouri. Licensed in Illinois. Registered with an NPI since 2006.

Licensed in
IL
In the registry since
2006
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

915 N Grand Blvd
Saint Louis, MO 63106-1621
Phone: (314) 652-4100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 036088119 (IL)

Record details

NPI number1245317304
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedNovember 1, 2006
Last updated in NPPESMarch 12, 2024
Certification dateMarch 12, 2024

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