LARRY RAY KENNON

WEST PLAINS, MO
NPI1003803370
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: MO  061052)
Enumeration Date2005-10-03
Last Update Date2013-07-22
Business Address
Mr. LARRY RAY KENNON APRN, BC
1137 INDEPENDENCE DR
WEST PLAINS, MO 65775-4221
Phone number: 417-255-8464
Mailing Address
Mr. LARRY RAY KENNON APRN, BC
7232 COUNTY ROAD 9900
WEST PLAINS, MO 65775-6797
Phone number: 417-255-9233