Individual
DR. GRACE ELLEN KENNEDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1 CHILDRENS PL # 3S34, SAINT LOUIS, MO 63110-1002
(314) 454-6006
Mailing address
1 CHILDRENS PL # 3S34, SAINT LOUIS, MO 63110-1002
(314) 454-6006
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2017018395
MO
Other
Enumeration date
07/01/2017
Last updated
07/21/2022
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