Individual
KENDAL LEWIS GENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
125 E LOCKLING ST, BROOKFIELD, MO 64628-2367
(660) 258-8237
Mailing address
125 E LOCKLING AVE, BROOKFIELD, MO 64628
(660) 258-8237
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2013017659
MO
Other
Enumeration date
06/13/2013
Last updated
07/25/2016
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