Individual
DR. ROBERT M KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 CHILDRENS PL, DIV PED EMERGENCY MED, SAINT LOUIS, MO 63110-1002
(314) 454-2341
(314) 454-4345
Mailing address
1 CHILDRENS PL, MSC 8515-87-1200, SAINT LOUIS, MO 63110-1002
(314) 454-2341
(314) 454-4345
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
R6C40
MO
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
R6C40
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
202316212
—
MO
Enumeration date
07/17/2006
Last updated
11/15/2021
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