Kenneth Eugene Floro Jr., MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

R6907 Issued in MO

Practice address

12639 Old Tesson Rd
Saint Louis, MO 63128-2786

Phone

(314) 849-0311

Fax

(314) 849-2068

NPI assigned

Jul 11, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dr. Kenneth Eugene Floro Jr. Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226534400000",
    "number": "1164457164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7822 TANAGER CT",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631195015",
            "telephone_number": "314-849-0311",
            "fax_number": "314-849-2068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12639 OLD TESSON RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631282786",
            "telephone_number": "314-849-0311",
            "fax_number": "314-849-2068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLORO",
        "first_name": "KENNETH",
        "middle_name": "EUGENE",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2008-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MO",
            "license": "R6907",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201187101",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KENNETH",
            "last_name": "FLORO",
            "middle_name": "EUGENE",
            "prefix": "DR.",
            "suffix": "JR.",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Stephanie Lee Flores, DPT
• Arleziana C Florescu, MD
• Marie Floretta, CRNA
• Florissant Valley Surgical Specialists
• Geoffrey Michael Floro, CRNA
• James A Flotken, MD
• Flourish Therapy Services, LLC
• Flourish. Nutrition Therapy
• Taylor Flowerday, MD
• Flowers Home Health Services II LLC

• Surgery Physician in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Surgery Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.