Individual
JAMES CLINTON DENNENY III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
525 N KEENE ST STE 201, COLUMBIA, MO 65201-6967
(573) 882-7903
(573) 884-4607
Mailing address
PO BOX 843966, KANSAS CITY, MO 64184-3966
(573) 884-3300
(573) 884-0943
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
2012001985
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
040003145
RAILROAD MEDICARE
TN
05
—
3023690
—
TN
Enumeration date
09/30/2005
Last updated
02/25/2025
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