Individual
CHARLOTTE J KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD PH D
Contact information
Practice address
4921 PARKVIEW PL STE 5G, SAINT LOUIS, MO 63110-1032
(314) 747-1970
(314) 747-1972
Mailing address
4921 PARKVIEW PL STE 5G, SAINT LOUIS, MO 63110-1032
(314) 747-1970
(314) 747-1970
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
100880
MO
Other
Enumeration date
07/26/2006
Last updated
11/21/2019
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