OrganizationActive
St Louis Kidney, LLC
NPI 1114344348 · Medical Specialty Clinic/Center · Saint Louis, MO
Provider details
- NPI number
- 1114344348
- Entity type
- Organization
- Primary specialty
- Medical Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jay Seltzer, Authorized Member(314) 825-0361
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(76/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
12855 N 40 Dr
Suite 205
Saint Louis, MO 63141-8657
Phone: (314) 720-0900
Fax: (314) 579-0108
Street-level locationGet directions
Mailing address
12855 N 40 Dr
Saint Louis, MO 63141-8657
Registry dates
- Enumerated
- 2014-03-26
- Last updated
- 2014-03-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.