Individual
DR. JOHN KENNEDY SYDNEY SIR PHILIP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1000 E PRIMROSE ST STE 550, SPRINGFIELD, MO 65807-5180
(417) 269-4646
(417) 269-0996
Mailing address
1000 E PRIMROSE ST STE 550, SPRINGFIELD, MO 65807-5180
(417) 269-4646
(417) 269-0996
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
2023017499
MO
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
2023017499
MO
Other
Enumeration date
09/21/2012
Last updated
07/11/2023
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