Dr Kaitlyn Kennard, MD | |
4921 Parkview Pl, Div Surg Oncology, Ste 5f, Saint Louis, MO 63110-1032 | |
(314) 362-2280 | |
(888) 352-8360 |
Full Name | Dr Kaitlyn Kennard |
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Gender | Female |
Speciality | Surgery |
Location | 4921 Parkview Pl, Saint Louis, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1518320662 | NPI | - | NPPES |
200112299 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 2022029282 (Missouri) | Primary |
Entity Name | Kennedy Medical Group Practice, P.c. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952726796 PECOS PAC ID: 2860616877 Enrollment ID: O20140613000689 |
Mailing Address | Practice Location Address |
---|---|
Dr Kaitlyn Kennard, MD 660 S Euclid Ave, Msc 8109-0037-09, Saint Louis, MO 63110-1010 Ph: (314) 362-2280 | Dr Kaitlyn Kennard, MD 4921 Parkview Pl, Div Surg Oncology, Ste 5f, Saint Louis, MO 63110-1032 Ph: (314) 362-2280 |
Dr. Matthew Russell Smeds, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1225 S Grand Blvd, Saint Louis, MO 63104 Phone: 314-977-4730 Fax: 314-977-1642 | |
Dr. William C Chapman Jr., MD Surgery Medicare: Medicare Enrolled Practice Location: 1044 N Mason Rd, Div Surg Colon/rectal, Ste 310, Saint Louis, MO 63141 Phone: 314-454-7177 Fax: 888-425-7946 | |
Dr. Bradley Seth Kushner, MD Surgery Medicare: Medicare Enrolled Practice Location: 1 Barnes Jewish Hospital Plz, Div Surg Vascular, Saint Louis, MO 63110 Phone: 314-273-7373 Fax: 888-840-6225 | |
Leonardo J Diaz Gandica, MD Surgery Medicare: Medicare Enrolled Practice Location: 510 S Kingshighway Blvd, Saint Louis, MO 63110 Phone: 314-286-2000 | |
Eddy C Hsueh, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 3655 Vista Ave, Saint Louis, MO 63110 Phone: 314-977-4440 Fax: 314-977-1630 | |
Dr. Jay M Snow, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 10296 Big Bend Rd Ste 206, Saint Louis, MO 63122 Phone: 314-366-4874 Fax: 314-366-4875 | |
Dr. Lj Punch, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 5501 Delmar Blvd Ste A430, Saint Louis, MO 63112 Phone: 314-624-0398 |