Kendall, Peggy Lynn

Kendall, Peggy Lynn is an individual health care provider with primary practice located at 4921 Parkview Pl Div Im Allergy And Immunology, Ste 8B, Saint Louis MO 63110-1032. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Allergy & Immunology. Allopathic & Osteopathic Physicians / Allergy & Immunology is her primary health care specialty. Kendall, Peggy Lynn can be contacted via phone (314) 996-8670.

Contact Information

Primary practice address
4921 Parkview Pl Div Im Allergy And Immunology, Ste 8B Saint Louis MO 63110-1032
Fax: (314) 747-2417
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 2020002762 Missouri
Allopathic & Osteopathic Physicians / Allergy & Immunology 207RA0201X 2020002762 Missouri

Profile Details

NPI number 1306938725
LBN Legal business name Kendall, Peggy Lynn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 30th, 2006
Last updated Jul 9th, 2024 - about 4 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306938725 NPPES
Missouri MEDICAID 200080962

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