Organization
KYLE W. KENNEDY, DO, FACOEP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KYLE KENNEDY (PHYSICIAN)
(417) 499-2692
Entity
Organization
Contact information
Practice address
1102 W 32ND ST, JOPLIN, MO 64804-3503
(417) 347-6670
Mailing address
1117 N LIBERTY ST, WEBB CITY, MO 64870-1135
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2004009698
MO
Other
Enumeration date
10/17/2013
Last updated
10/17/2013
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