Individual
DR. DENNIS KENYON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2240 W SUNSET ST STE 104, SPRINGFIELD, MO 65807-6041
(417) 883-7500
(417) 269-9281
Mailing address
2240 W SUNSET ST STE 104, SPRINGFIELD, MO 65807-6041
(417) 883-7500
(417) 269-9281
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
R8D26
MO
208D00000X
General Practice Physician
Primary
R8D26
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
202082517
—
MO
Enumeration date
11/08/2005
Last updated
09/12/2023
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