Individual
NATHAN TIMOTHY KENYON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2505 MISSION DR STE 200, JEFFERSON CITY, MO 65109-9508
(573) 681-3759
(573) 681-3659
Mailing address
2505 MISSION DR STE 200, JEFFERSON CITY, MO 65109-9508
(573) 681-3759
(573) 681-3659
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
2013018167
MO
Other
Enumeration date
05/25/2012
Last updated
02/22/2018
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