Individual
DR. ROBERT WILSON KENNEDY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
915 N GRAND BLVD, SAINT LOUIS, MO 63106-1621
(314) 289-6367
Mailing address
4841 CROSSWOOD DR, SAINT LOUIS, MO 63129-7128
(314) 487-6096
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
2004001461
MO
Other
Enumeration date
04/13/2006
Last updated
07/08/2007
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