Individual
KINEDE JENNINGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4 S MAIN ST, FORT SCOTT, KS 66701-1413
(620) 215-1435
Mailing address
8363 E STATE HIGHWAY MM, RICH HILL, MO 64779-9134
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
53-83396-102
KS
Other
Enumeration date
07/17/2024
Last updated
07/20/2024
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