Individual
SARAH KENNY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
4455 DUNCAN AVE, SAINT LOUIS, MO 63110-1111
(972) 322-5695
Mailing address
341 LOWLINE DR, CLARKSVILLE, TN 37043-3025
(972) 322-5695
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
085.010790
IL
363A00000X
Physician Assistant
Primary
2024038955
MO
363A00000X
Physician Assistant
6125
TN
363A00000X
Physician Assistant
PA14271
TX
Other
Enumeration date
01/27/2021
Last updated
02/07/2025
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