Marciniak, Kenneth Ernest

Marciniak, Kenneth Ernest is an individual health care provider with primary practice located at 607 S New Ballas Rd Ste 2300 , Saint Louis MO 63141-8234. He recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as his primary health care specialty. Marciniak, Kenneth Ernest can be contacted via phone (314) 251-6394.

Contact Information

Primary practice address
607 S New Ballas Rd Ste 2300 Saint Louis MO 63141-8234
Phone: (314) 251-6394
Fax: (314) 251-4235
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 2010020892 Missouri

Profile Details

NPI number 1477864072
LBN Legal business name Marciniak, Kenneth Ernest
Credentials AUD
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2010
Last updated Jul 21st, 2022 - about 3 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 1477864072 NPPES
Missouri MEDICAID 1477864072

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