Individual
DR. BERNARD KENNETZ JR.
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
1423 N NATIONAL AVE, SPRINGFIELD, MO 65802-2047
(417) 269-6583
(417) 269-6573
Mailing address
1304 E REPUBLIC RD, SPRINGFIELD, MO 65804-7210
(417) 269-6583
(417) 269-6573
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2001004532
MO
Other
Enumeration date
10/17/2005
Last updated
07/08/2007
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