Hacker, Kenneth Allen

Hacker, Kenneth Allen is an individual health care provider with primary practice located at 6 Jungermann Circle Ste 205, St Peters MO 63376. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Hacker, Kenneth Allen can be contacted via phone (636) 441-2122.

Contact Information

Primary practice address
6 Jungermann Circle Ste 205 St Peters MO 63376
Phone: (636) 441-2122
Fax: (636) 441-5290
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X R5N50 Missouri

Profile Details

NPI number 1164484994
LBN Legal business name Hacker, Kenneth Allen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 5th, 2006
Last updated Jan 6th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164484994 NPPES
Other 29293 BLUE CHOICE
Other 4337092 BLUE CHOICE
Other 088443 BLUE CHOICE
Other 430910980007 BLUE CHOICE
Other 017069 BLUE CHOICE
Other 020029159 BLUE CHOICE
Other 1053235 BLUE CHOICE
Other 1328V2907 BLUE CHOICE
Other 1700152 BLUE CHOICE
Other 986C2 BLUE CHOICE
MEDICAID 203711015 BLUE CHOICE
Other G1257A BLUE CHOICE
Other 209034 BLUE CHOICE
Other 11615 BLUE CHOICE
Other BLC27144001 BLUE CHOICE
Other SP14388 BLUE CHOICE
Other 000487747642 BLUE CHOICE
Other M6725 BLUE CHOICE

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