NPI 1104167972
Kenneth Joe Talley
Practice location
- Address
- 1109 Jones St, Kennett, MO 63857-3824
- Phone
- (573) 888-6545
- Fax
- (573) 888-2369
- Mailing address
- 1109 Jones St PO Box 470, Kennett, MO 63857-3824
Registered specialties
Other Technician
Primary
Registry record
- NPI
- 1104167972
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 4 Mar 2013
- Record last updated
- 4 Mar 2013
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.