Kennett, Jerry D

Kennett, Jerry D is an individual health care provider with primary practice located at 1605 E Broadway Ste 300 , Columbia MO 65201-8023. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Kennett, Jerry D can be contacted via phone (573) 256-7700.

Contact Information

Primary practice address
1605 E Broadway Ste 300 Columbia MO 65201-8023
Fax: (573) 256-3003
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X R5649 Missouri

Profile Details

NPI number 1851383145
LBN Legal business name Kennett, Jerry D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 22nd, 2005
Last updated Jul 28th, 2023 - about last year

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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