Individual
DANIELLE DARLENE KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
424 MAIN ST, HILLSBORO, MO 63050-4350
(314) 628-0124
(800) 246-0622
Mailing address
424 MAIN ST, HILLSBORO, MO 63050-4350
(314) 628-0124
(800) 246-0622
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2018004709
MO
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2023006107
MO
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
22893
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2023006107
MISSOURI APRN LICENSE
MO
01
—
22893
ARKANSAS APRN LICENSE
AR
05
—
300244758
—
AR
05
—
420120610
—
MO
Enumeration date
02/07/2023
Last updated
11/28/2025
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