Dr Kenneth Bruce Quenneville, MD is a
Emergency Medicine physician based in Memphis, Missouri. Dr Kenneth Bruce Quenneville is licensed to practice in Missouri (license number 2009029477) and his current practice location is 12000 County Road 801, Memphis, Missouri. He can be reached at his office (for appointments etc.) via phone at
(660) 988-1296.
NPI number for Dr Kenneth Bruce Quenneville is 1174591556 and his current mailing address is 12000 County Road 801, Memphis, Missouri. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1174591556.
Physician's Profile
| Full Name | Dr Kenneth Bruce Quenneville |
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| Gender | Male |
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| Speciality | Emergency Medicine |
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| Location | 12000 County Road 801, Memphis, Missouri |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1174591556
- Provider Enumeration Date: 03/10/2006
- Last Update Date: 10/16/2023
Medical Identifiers
Medical identifiers for Dr Kenneth Bruce Quenneville such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1174591556 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207P00000X | Emergency Medicine | 39876 (Iowa) | Secondary |
| 208D00000X | General Practice | 2009029477 (Missouri) | Secondary |
| 207P00000X | Emergency Medicine | 2009029477 (Missouri) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Kenneth Bruce Quenneville is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Kenneth Bruce Quenneville, MD
12000 County Road 801,
Memphis, MO 63555-2024
Ph: (660) 988-1296 | Dr Kenneth Bruce Quenneville, MD
12000 County Road 801,
Memphis, MO 63555-2024
Ph: (660) 988-1296 |
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