Individual
DR. KENNETH BRUCE QUENNEVILLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12000 COUNTY ROAD 801, MEMPHIS, MO 63555-2024
(660) 988-1296
Mailing address
12000 COUNTY ROAD 801, MEMPHIS, MO 63555-2024
(660) 988-1296
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2009029477
MO
207P00000X
Emergency Medicine Physician
39876
IA
208D00000X
General Practice Physician
2009029477
MO
Other
Enumeration date
03/10/2006
Last updated
10/16/2023
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