Donald J Kennedy
Infectious Disease
3660 Vista
St Louis
, Missouri 63110
Donald J Kennedy
Infectious Disease
3660 Vista
St Louis
, Missouri 63110
(314) 977-4440
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About
Features
Specialties
- Infectious Disease
Languages spoken
- English
Location
First Address
- Donald J Kennedy
- 3691 Rutger Ave Provider Enrollment
- St Louis, MO
- Zip : 63110
- Phone : (314) 977-4440
Second Address
- Donald J Kennedy
- 3660 Vista
- St Louis, MO
- Zip : 63110
- Fax : (314) 771-3816
- Phone : (314) 577-8648
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RI0200X | Infectious Disease | R9005 | MO |
National Provider Identifier
| NPI | 1063526978 |
|---|---|
| Provider Name | Donald J Kennedy |
| First Address | St Louis, MO 63110 |
| Second Address | St Louis, MO 63110 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 18/08/2006 |
| Last Update Date | 18/03/2008 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.