| NPI | 1972591964 |
|---|---|
| Doing Business As | THE KENNETT CLINIC |
| Entity Type | Organization |
| Authorized Contact | RENEE SPARKS Office Manager 573-888-1137 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MO 2000160888) |
| Enumeration Date | 2005-10-12 |
| Last Update Date | 2020-08-22 |