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1003803370
LARRY RAY KENNON
WEST PLAINS, MO
NPI
1003803370
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MO 061052)
Enumeration Date
2005-10-03
Last Update Date
2013-07-22
Business Address
Mr. LARRY RAY KENNON APRN, BC
1137 INDEPENDENCE DR
WEST PLAINS, MO 65775-4221
Phone number: 417-255-8464
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Mailing Address
Mr. LARRY RAY KENNON APRN, BC
7232 COUNTY ROAD 9900
WEST PLAINS, MO 65775-6797
Phone number: 417-255-9233
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