National Provider Identifier Database

ANATOLIY KUZNETSOV, MD – NPI #1265937080
Child & Adolescent Psychiatry

Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.


Contact Information

ANATOLIY KUZNETSOV, MD
4444 FOREST PARK AVE
STE 2600
SAINT LOUIS, MO63108-2212
Phone: 314-286-1700
Fax: 314-286-1777
Website:
Specialty Taxonomy Code
* Child & Adolescent Psychiatry 2084P0804X

* Indicates primary specialty

NPI Profile & details for ANATOLIY KUZNETSOV

NPI Number 1265937080
Credentials MD
Entity Individual
Enumeration date 03/25/2018
Last updated 04/17/2025 - More than a year ago
Sole proprietor1 No
Identifiers
  • MO License #: 2023017506
  • MO Medicaid: 200124791
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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