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

St Louis Thoracic and Vascular Inc

Organization Specialist · NPI 1639204696

St Louis Thoracic and Vascular Inc provides Specialist services in Saint Louis, Missouri. Licensed in Missouri. Registered with an NPI since 2007.

Licensed in
MO
In the registry since
2007
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

10004 Kennerly Rd Ste 186B
Saint Louis, MO 63128-2176 Not confirmed with CMS for 17 years — call before visiting
Phone: (314) 543-5939
Fax: (314) 543-5954
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 31077 (MO)

Record details

NPI number1639204696
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Russell Kraeger — Owner · (314) 543-5939
NPI enumeratedFebruary 22, 2007
Last updated in NPPESMay 4, 2009
Mailing address10004 Kennerly Rd, Sutie 186b, Saint Louis, MO 63128-2141

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