Individual provider · Type 1 NPI

Kevin R. Mahoney, MD

Trauma Surgery Physician · St. Louis, MO

NPI number 1386745115 Active

Practice location

1225 S Grand Blvd, Level 2
St. Louis, MO 63104-1016

Call (314) 977-4440 Map

Fax (314) 977-1877

Mailing address

1008 S Spring Ave Ste 1615
St. Louis, MO 63110-2520

Other practice locations

  • 915 N Grand Ave, St. Louis, MO 63106 · (314) 652-4100

Specialties and licenses

TaxonomyCodeLicense
Trauma Surgery Physician Primary 2086S0127X2007020558 (MO)
Critical Care Medicine (Internal Medicine) Physician 207RC0200X43940 (WI)
Surgery Physician 208600000X43940 (WI)

Trauma Surgery Physician: Trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, typically leading to additional board certification in surgical critical care. There is no trauma surgery board certification at this point. To obtain board certification …

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About NPI 1386745115

Kevin R. Mahoney, MD's National Provider Identifier is 1386745115, issued on Sep 26, 2006. The primary taxonomy on file is Trauma Surgery Physician (2086S0127X), and the practice location is in St. Louis, MO. The record was last updated on Sep 22, 2025.