Kenneth G Selke MD

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

KENNETH G SELKE MD

Practice address

224 S Woods Mill Rd
Ste. 670 South
Chesterfield, MO 63017-3451

Phone

(314) 469-2182

Fax

(314) 469-5725

NPI assigned

Dec 9, 2005

Organization subpart

No

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

Authorized official

Name

Kenneth G Selke, MD

Title

President

Phone

(314) 469-2182

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1134086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366761600000",
    "number": "1508841875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 S WOODS MILL RD",
            "address_2": "STE. 670 SOUTH",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630173451",
            "telephone_number": "314-469-2182",
            "fax_number": "314-469-5725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 S WOODS MILL RD",
            "address_2": "STE. 670 SOUTH",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630173451",
            "telephone_number": "314-469-2182",
            "fax_number": "314-469-5725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH G SELKE MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-09",
        "last_updated": "2013-04-24",
        "status": "A",
        "authorized_official_last_name": "SELKE",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "314-469-2182",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "C4134",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "110037903",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristin Renae Keithley, PT
• Alyssa Lauren Kelley, OTR/L
• Kelly M Bauman LCSW LLC
• Jessica Faron Kemp
• Amanda Nichole Kennedy, LCSW
• Kenneth G. Wolf, D.C., L.L.C.
• L Joseph Kennington, MD
• Tylor Kersten, MD
• Katharine Kerstetter
• Norman Kettner, DC,DACBR

• Cardiovascular Disease Physician in Chesterfield, MO
• Providers in Chesterfield, MO by specialty
• Cardiovascular Disease Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2013; 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.