George M. Kichura, M.D.

Interventional Cardiology Physician · Saint Louis, MO

Individual Active NPI

NPI number 1114903507

Practice location

11155 Dunn Rd
Suite 304e
Saint Louis, MO 63136-6150
Phone
(314) 741-0911
Fax
(314) 653-3671

Open in Google Maps

NPI record

NPI
1114903507
Entity type
Individual (Type 1)
Enumeration date
December 19, 2005
Last updated
December 6, 2021
Certified
December 6, 2021
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Interventional Cardiology Physician Primary 207RI0011X R7H84 MO
Cardiovascular Disease Physician 207RC0000X R7H84 MO
Cardiovascular Disease Physician 207RC0000X 036-089747 IL
Interventional Cardiology Physician 207RI0011X 036089474 IL

Other practice locations (2)

  • 3550 McKelvey Rd, Bridgeton, MO 63044-2527 · (314) 741-0911
  • 2120 Madison Ave Ste 101, Granite City, IL 62040-4746 · (618) 876-8214

About Dr. Kichura

George M. Kichura, M.D. is a healthcare provider registered in the NPI registry with the primary taxonomy Interventional Cardiology Physician (code 207RI0011X). The practice location is 11155 Dunn Rd, Suite 304e, Saint Louis, MO 63136-6150. The NPI number 1114903507 was assigned on December 19, 2005 and the record was last updated on December 6, 2021.

Dr. Kichura lists 4 licenses in the registry: #R7H84 (MO) for Interventional Cardiology Physician; #R7H84 (MO) for Cardiovascular Disease Physician; #036-089747 (IL) for Cardiovascular Disease Physician; #036089474 (IL) for Interventional Cardiology Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of George M. Kichura, M.D.?

The NPI number is 1114903507.

What is the phone number of Dr. Kichura?

The phone number listed for the practice location is (314) 741-0911.

Where is Dr. Kichura located?

11155 Dunn Rd, Suite 304e, Saint Louis, MO 63136-6150.

What is the taxonomy code for Dr. Kichura?

The primary taxonomy code is 207RI0011X – Interventional Cardiology Physician; 3 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

Other Interventional Cardiology Physician providers in Saint Louis

All Interventional Cardiology Physician providers in Saint Louis, MO →