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

Zachary Kisley, DO

Individual provider Nephrology Physician · NPI 1629606298

Zachary Kisley, DO is a Nephrology in Saint Louis, Missouri. Graduated from Midwestern University, Chicago College of Osteopathic Med in 2020, 6 years ago. Practices with Nhs South LLC, a 9-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
6
Trained at
Midwestern University, Chicago College of Osteopathic Med
Licensed in
MO
In the registry since
2020
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

10004 Kennerly Rd Ste 374B
Saint Louis, MO 63128-2178
Phone: (314) 842-9669
Fax: (314) 842-1017
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Nephrology Physician (primary) Taxonomy 207RN0300X · Licence 2025035191 (MO)

Record details

NPI number1629606298
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMarch 30, 2020
Last updated in NPPESAugust 24, 2025
Certification dateAugust 24, 2025

Medicare enrollment

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

Medicare specialtyNEPHROLOGY
Medical schoolMIDWESTERN UNIVERSITY, CHICAGO COLLEGE OF OSTEOPATHIC MED
Graduated 2020 (6 years in practice)
Group practice Nhs South Llc — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations9 on file with Medicare

Other providers in Saint Louis