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1851651657
NATHAN TIMOTHY KENYON
JEFFERSON CITY, MO
NPI
1851651657
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
208100000X Physical Medicine & Rehabilitation
(Licence: MO 2013018167)
Enumeration Date
2012-05-25
Last Update Date
2018-02-22
Business Address
NATHAN TIMOTHY KENYON M.D.
2505 MISSION DR STE 200
JEFFERSON CITY, MO 65109-9508
Phone number: 573-681-3759
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Mailing Address
NATHAN TIMOTHY KENYON M.D.
2505 MISSION DR STE 200
JEFFERSON CITY, MO 65109-9508
Phone number: 573-681-3759
Copy
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