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1871254615
KENNEDY MARIE ISAAK
SAINT LOUIS, MO
NPI
1871254615
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MO 2023014817)
Enumeration Date
2022-01-04
Last Update Date
2024-04-01
Business Address
KENNEDY MARIE ISAAK PA
621 S NEW BALLAS RD STE 63B
SAINT LOUIS, MO 63141-8251
Phone number: 314-960-8771
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Mailing Address
KENNEDY MARIE ISAAK PA
3 INWOOD CT
SAINT PETERS, MO 63376-2613
Phone number:
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