Donald J Kennedy MD

NPI 1063526978 - Internal Medicine - 207RI0200X

NPI Details
NPI 1063526978
Gender Male
Enumeration Date 08/18/2006
Last Updated 03/18/2008
Entity Type Individual
Active Over 10 years ago
Practice Location
3660 VISTA
ST LOUIS MO, 63110, US
Phone (314) 577-8648
Fax (314) 771-3816
Business Location
ST LOUIS MO, 63110, US
Phone (314) 977-4440
Taxonomy Code 207RI0200X
License State Missouri
License Number R9005
Remove 1063526978 NPI Number

According to our database, Donald J Kennedy MD NPI is 1063526978, taxonomy code is 207RI0200X and license number is R9005, license state is located at Missouri. Donald J Kennedy MD physically located at 3660 Vista, St Louis MO, 63110. NPI Number Donald J Kennedy MD has the Individual type.

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1063526978 NPI number is provided on an as is basis without warranty of any kind. 1063526978 is maintained by the National Plan & Provider Enumeration System. The contents of Donald J Kennedy MD are for informational purposes only.