Individual
MARY L. KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
6151 N MAIN STREET RD, WEBB CITY, MO 64870-8189
(417) 781-0408
(417) 556-5377
Mailing address
6151 N MAIN STREET RD, WEBB CITY, MO 64870-8189
(417) 781-0408
(417) 556-5377
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2001016563
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1659312841
—
MO
01
—
P00800446
RAIL ROAD MEDICARE
MO
Enumeration date
06/09/2006
Last updated
03/17/2016
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