NPI 1063967339

Stephanie Kennedy

Practitioner Contractor Saint Louis, MO

Practice location

Address: 5890 Kennerly Ave, Saint Louis, MO 63112-3822
Phone: (314) 537-5493

Registered specialties

Contractor Primary

Other Service Providers Taxonomy 171W00000X

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Registry record

NPI: 1063967339
Entity type: Individual
Sex (as registered): Female
NPI issued: 16 Aug 2016
Record last updated: 16 Aug 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.