Individual
MR. NATHANIEL LEVI KENADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-BC
Contact information
Practice address
1001 E PRIMROSE ST, SPRINGFIELD, MO 65807-5155
(417) 875-3000
Mailing address
PO BOX 505673, SAINT LOUIS, MO 63150-5673
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2020026415
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
420089844
—
MO
Enumeration date
08/29/2020
Last updated
04/03/2024
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