Donald J Kennedy, MD | |
3660 Vista, St Louis, MO 63110 | |
(314) 577-8648 | |
(314) 771-3816 |
Full Name | Donald J Kennedy |
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Gender | Male |
Speciality | Internal Medicine - Infectious Disease |
Location | 3660 Vista, St 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 |
---|---|---|---|
1063526978 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RI0200X | Internal Medicine - Infectious Disease | R9005 (Missouri) | Primary |
Entity Name | Slh Physicians Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881668051 PECOS PAC ID: 9830132653 Enrollment ID: O20050602000941 |
Entity Name | Ssm Health Care Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1306589544 PECOS PAC ID: 0143608372 Enrollment ID: O20220531002655 |
Mailing Address | Practice Location Address |
---|---|
Donald J Kennedy, MD 3691 Rutger Ave, Provider Enrollment, St Louis, MO 63110 Ph: (314) 977-4440 | Donald J Kennedy, MD 3660 Vista, St Louis, MO 63110 Ph: (314) 577-8648 |
Chantri Trinh, MD Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 3660 Vista, St Louis, MO 63110 Phone: 314-977-8462 Fax: 314-771-8575 | |
Patrick H Durbin, MD Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 6901 Chippewa St, St Louis, MO 63109 Phone: 314-644-7000 Fax: 314-644-7101 | |
Syed H Tariq, MD Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 3660 Vista, St Louis, MO 63110 Phone: 314-977-8462 Fax: 314-771-8575 | |
Naga Neelima Nallapaneni, M.D Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 4414 North Florissant, St Louis, MO 63107 Phone: 314-898-1700 Fax: 314-814-8542 | |
Dr. Jennifer A Delaney, MD Infectious Disease Medicare: Not Enrolled in Medicare Practice Location: 11709 Old Ballas Rd, St Louis, MO 63141 Phone: 314-993-1200 Fax: 314-993-1240 | |
Mr. Basanta Subedi, MD Infectious Disease Medicare: Medicare Enrolled Practice Location: 6420 Clayton Road, St Louis, MO 63117 Phone: 314-768-8000 |