Kennedy, Robert M

Kennedy, Robert M is an individual health care provider with primary practice located at 1 Childrens Pl Div Ped Emergency Med, Saint Louis MO 63110-1002. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine. Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine is his primary health care specialty. Kennedy, Robert M can be contacted via phone (314) 454-2341.

Contact Information

Primary practice address
1 Childrens Pl Div Ped Emergency Med Saint Louis MO 63110-1002
Phone: (314) 454-2341
Fax: (314) 454-4345
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X R6C40 Missouri
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine 2080P0204X R6C40 Missouri

Profile Details

NPI number 1992723449
LBN Legal business name Kennedy, Robert M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2006
Last updated Nov 15th, 2021 - about 3 years 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 1992723449 NPPES
Missouri MEDICAID 202316212

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