IndividualActive
Clark Kebodeaux, PHARM.D.
NPI 1669785697 · Pharmacist · Saint Louis, MO
Clark Kebodeaux, PHARM.D. is a Pharmacist provider in Saint Louis, MO (NPI 1669785697).
Provider details
- NPI number
- 1669785697
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Credential
- PHARM.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 015036 (KY)
Specialties & taxonomies
Pharmacy Service Providers
Pharmacy Service Providers
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 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
4218 Lindell Blvd
Saint Louis, MO 63108-2916
Phone: (314) 534-3829
Street-level locationGet directions
Mailing address
4588 Parkview Pl
Saint Louis, MO 63110-1029
Registry dates
- Enumerated
- 2010-07-19
- Last updated
- 2011-08-10
Frequently asked questions
- What is Clark Kebodeaux's NPI number?
- Clark Kebodeaux's National Provider Identifier (NPI) is 1669785697, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Clark Kebodeaux's specialty?
- Clark Kebodeaux is listed in the NPPES registry with a primary specialty of Pharmacist (Pharmacy Service Providers).
- Where is Clark Kebodeaux located?
- Clark Kebodeaux's practice location on file with NPPES is 4218 Lindell Blvd, Saint Louis, MO 63108-2916.
- What is Clark Kebodeaux's phone number?
- The practice phone number listed in the NPPES registry for Clark Kebodeaux is (314) 534-3829.
- Is Clark Kebodeaux's NPI active?
- Yes — Clark Kebodeaux's NPI (1669785697) is active in the NPPES registry as of the last update on 2011-08-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.