Individual
DR. LARA ANNE BRISENO KENNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
402 N LEE ST, LEETON, MO 64761-8200
(660) 851-4585
(888) 476-8595
Mailing address
PO BOX 65, LEETON, MO 64761-0065
(660) 851-4585
(888) 476-8595
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01061332A
IN
207R00000X
Internal Medicine Physician
152755
OR
207R00000X
Internal Medicine Physician
2011012603
MO
207RH0003X
Hematology & Oncology Physician
Primary
2011012603
MO
207RH0003X
Hematology & Oncology Physician
4301507474
MI
Other
Enumeration date
02/14/2006
Last updated
04/25/2025
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