Renner, Kevin M

Renner, Kevin M is an sole proprietor health care provider with primary practice located at 225 Physicians Park Ste 102 , Poplar Bluff MO 63901-3918. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Renner, Kevin M can be contacted via phone (573) 785-4546.

Contact Information

Primary practice address
225 Physicians Park Ste 102 Poplar Bluff MO 63901-3918
Phone: (573) 785-4546
Fax: (573) 785-6959
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 2017016516 Missouri

Profile Details

NPI number 1710305677
LBN Legal business name Renner, Kevin M
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 28th, 2014
Last updated Jul 21st, 2022 - 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 1710305677 NPPES
Missouri Other 2017016516 MO LICENSE

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