Individual
DR. NANCY KETRING KENNEDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
633 EMERSON RD, CREVE COEUR, MO 63141-6739
(314) 872-7744
(314) 872-9358
Mailing address
633 EMERSON RD, CREVE COEUR, MO 63141-6739
(314) 872-7744
(314) 872-9358
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TO2315
MO
Other
Enumeration date
12/21/2009
Last updated
12/21/2009
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