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NPI Code Detail

MEDICARE: KEITH S NAUNHEIM MD

MEDICARE: KEITH S NAUNHEIM MD
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
1208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery) Physician036059514IL
2208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianR9E44MO

General Provider Information

NPI Number : 1932202363
Entity Type Code : Individual
Provider Name (Legal Business Name) : KEITH S NAUNHEIM MD
Provider Business Mailing Address
First Line : 1008 S SPRING AVE
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63110-2520
Country : US
Telephone Number : 314-977-3650
Fax Number : 618-977-1642
Provider Business Practice Location Address
First Line : 1008 S SPRING AVE FL 3
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63110-2520
Country : US
Telephone Number : 314-977-3650
Fax Number : 314-977-1462
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/07/2006
Last Update Date : 06/25/2021

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