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1063526978
DONALD J KENNEDY
ST LOUIS, MO
NPI
1063526978
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207RI0200X Internal Medicine, Infectious Disease
(Licence: MO R9005)
Enumeration Date
2006-08-18
Last Update Date
2008-03-18
Business Address
-- DONALD J KENNEDY MD
3660 VISTA
ST LOUIS, MO 63110
Phone number: 314-577-8648
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Mailing Address
-- DONALD J KENNEDY MD
3691 RUTGER AVE PROVIDER ENROLLMENT
ST LOUIS, MO 63110
Phone number: 314-977-4440
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