Individual
DR. ROBERT J KENNEY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
5844 NW BARRY RD STE 120, KANSAS CITY, MO 64154-1483
(816) 472-9595
(816) 472-1132
Mailing address
901 E 104TH ST, KANSAS CITY, MO 64131-4517
(816) 502-7000
(816) 932-9670
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
05-34228
KS
208600000X
Surgery Physician
2005018417
MO
208600000X
Surgery Physician
Primary
2010005331
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
122039
HEALTHCARE USA
MO
01
—
3195109
UNITED HEALTHCARE
MO
01
—
44172024
BCBS OF KC
MO
01
—
568912
COVENTRY
MO
01
—
745980
MISSOURI CARE
MO
Enumeration date
06/23/2006
Last updated
03/21/2019
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