Healthcare Provider Details

I. General information

NPI: 1548619349
Provider Name (Legal Business Name): WHITNEY KAEFRING MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/13/2016
Last Update Date: 08/26/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7345 WATSON RD STE 103
SAINT LOUIS MO
63119-9804
US

IV. Provider business mailing address

7345 WATSON RD STE 103
SAINT LOUIS MO
63119-9804
US

V. Phone/Fax

Practice location:
  • Phone: 314-633-8670
  • Fax: 314-633-8675
Mailing address:
  • Phone: 314-633-8670
  • Fax: 314-633-8675

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number2024027956
License Number StateMO
# 2
Primary TaxonomyN
Taxonomy Code174N00000X
TaxonomyLactation Consultant (Non-RN)
License Number2024027956
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: