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NPI Code Detail

MEDICARE: DR. KENNETH G. REINERT M.D.

MEDICARE: DR. KENNETH G. REINERT M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician036-072448IL

General Provider Information

NPI Number : 1295781607
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KENNETH G. REINERT M.D.
Provider Business Mailing Address
First Line : 3 SAINT ELIZABETH BLVD STE 4000
Second Line :
City : O FALLON
State : IL
Zip : 62269-1284
Country : US
Telephone Number : 618-222-4600
Fax Number : 618-256-7640
Provider Business Practice Location Address
First Line : 3 SAINT ELIZABETH BLVD STE 4000
Second Line :
City : O FALLON
State : IL
Zip : 62269-1284
Country : US
Telephone Number : 618-222-4600
Fax Number : 618-256-7640
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/26/2006
Last Update Date : 02/27/2026

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