Dr. Tracy Martig Kennetz, M.D.
Emergency Medicine in Springfield, MO. Individual provider (NPI-1).
NPI number1790774362
StatusActive
Last updated in NPPESOct 1, 2018
Details
- NPI
- 1790774362
- Entity type
- Individual (NPI-1)
- Name
- Dr. Tracy Martig Kennetz
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 17, 2005
- Last updated
- Oct 1, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207P00000X | Emergency Medicine | E-11413 | AR | Yes |
| 207P00000X | Emergency Medicine | 2001004533 | MO |
Practice location
1423 N National AveSpringfield, MO 65802-2047
Phone 417-269-6583 · Fax 417-269-6573
Mailing address
1304 E Republic RdSpringfield, MO 65804-7210
Phone 417-269-6583 · Fax 417-269-6573
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Emergency Medicine Physician providers in Springfield, MO
- Sam Alexander, M.D.NPI 1780670463
- Cody John Anderson, DONPI 1740982834
- Marcelo Assmann, MDNPI 1982068805
- Jeremy Kendel Baird, DONPI 1609823467
- Jacob Baltz, M.D.NPI 1174519821
- Michael J Barker, M.D.NPI 1598789869
- Courtney Elizabeth Beard, M.D.NPI 1164765756
- Ronald Benscoter, M.D.NPI 1538155296
- Devin Nelson Boss, DONPI 1750570917
- Mark Brady, M.D.NPI 1366439630
All 124 Emergency Medicine Physician providers in Springfield · All 7,858 providers in Springfield
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.