Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Mercy Clinic Kids Plastic Surgery, LLC

Organization Plastic and Reconstructive Surgery Physician · NPI 1942330477

Mercy Clinic Kids Plastic Surgery, LLC provides Plastic and Reconstructive Surgery Physician services in Saint Louis, Missouri. Registered with an NPI since 2007.

In the registry since
2007
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

621 S New Ballas Rd Ste 260-A
Saint Louis, MO 63141-8232
Phone: (314) 251-4772
Fax: (314) 251-5772
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Plastic and Reconstructive Surgery Physician (primary) Taxonomy 2086S0122X

Record details

NPI number1942330477
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationMercy Clinic East Communities
Authorized official Kerry Dunger — Executive Director - Finance · (314) 364-3707
Other names Kids Plastic Surgery, Llc
NPI enumeratedMarch 6, 2007
Last updated in NPPESApril 25, 2025
Certification dateApril 25, 2025
Mailing address621 S New Ballas Rd, Suite 260-A, Saint Louis, MO 63141-8232

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