IndividualActive
Kenneth Haller, MD
NPI 1679584304 · Pediatrics Physician · Saint Louis, MO
Kenneth Haller, MD is a Pediatrics Physician provider in Saint Louis, MO (NPI 1679584304).
Provider details
- NPI number
- 1679584304
- Entity type
- Individual
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- R4H97 (MO)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
1465 S Grand Blvd
Saint Louis, MO 63104-1003
Phone: (314) 268-4070
Fax: (314) 268-4021
Street-level locationGet directions
Mailing address
1465 S Grand Blvd
Saint Louis, MO 63104-1003
Registry dates
- Enumerated
- 2006-08-10
- Last updated
- 2021-01-07
- Certified
- 2021-01-07
Frequently asked questions
- What is Kenneth Haller's NPI number?
- Kenneth Haller's National Provider Identifier (NPI) is 1679584304, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kenneth Haller's specialty?
- Kenneth Haller is listed in the NPPES registry with a primary specialty of Pediatrics Physician (Allopathic & Osteopathic Physicians).
- Where is Kenneth Haller located?
- Kenneth Haller's practice location on file with NPPES is 1465 S Grand Blvd, Saint Louis, MO 63104-1003.
- What is Kenneth Haller's phone number?
- The practice phone number listed in the NPPES registry for Kenneth Haller is (314) 268-4070.
- Is Kenneth Haller's NPI active?
- Yes — Kenneth Haller's NPI (1679584304) is active in the NPPES registry as of the last update on 2021-01-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.