Organization
DAVID G. KENNEDY A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID G. KENNEDY M.D. (PRESIDENT)
(314) 743-0330
Entity
Organization
Contact information
Practice address
3009 N BALLAS RD, SUITE 269C, SAINT LOUIS, MO 63131-2322
(314) 743-0330
(314) 743-0339
Mailing address
PO BOX 11795, SAINT LOUIS, MO 63105-0595
(314) 743-0330
(314) 743-0339
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
—
—
Other
Enumeration date
04/16/2007
Last updated
03/20/2014
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