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1275054215
BRIAN KENNEDY
SPRINGFIELD, MO
NPI
1275054215
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: MO 2017022156)
Enumeration Date
2017-06-29
Last Update Date
2022-07-21
Business Address
BRIAN KENNEDY
1423 N JEFFERSON AVE, B100
SPRINGFIELD, MO 65802
Phone number: 417-269-8787
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Mailing Address
BRIAN KENNEDY
1423 N JEFFERSON AVE # B100
SPRINGFIELD, MO 65802-1917
Phone number: 417-269-8787
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