Individual
CHRISTINA KENNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12747 OLIVE BLVD STE 300, SAINT LOUIS, MO 63141-6269
(314) 925-7400
Mailing address
12747 OLIVE BLVD STE 300, SAINT LOUIS, MO 63141-6269
(314) 925-7400
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
2017004949
MO
Other
Enumeration date
02/11/2018
Last updated
02/11/2018
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