Individual
DOUGLAS R KENNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
603 E GAINES DR, CLINTON, MO 64735-3205
(660) 885-8141
(660) 885-5815
Mailing address
603 E GAINES DR, CLINTON, MO 64735-3205
(660) 885-8141
(660) 885-5815
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35974
MO
Other
Enumeration date
07/07/2006
Last updated
07/08/2007
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