Douglas R Kenney, M.D.
Family Medicine in Clinton, MO. Individual provider (NPI-1).
NPI number1144252016
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1144252016
- Entity type
- Individual (NPI-1)
- Name
- Douglas R Kenney
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 7, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 35974 | MO | Yes |
Practice location
603 E Gaines DrClinton, MO 64735-3205
Phone 660-885-8141 · Fax 660-885-5815
Mailing address
603 E Gaines DrClinton, MO 64735-3205
Phone 660-885-8141 · Fax 660-885-5815
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