Kennington, L Joseph

Kennington, L Joseph is an individual health care provider with primary practice located at 14377 Woodlake Dr Suite 300, Chesterfield MO 63017-5735. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Kennington, L Joseph can be contacted via phone (314) 434-3333.

Contact Information

Primary practice address
14377 Woodlake Dr Suite 300 Chesterfield MO 63017-5735
Phone: (314) 434-3333
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 35509 Missouri

Profile Details

NPI number 1215903406
LBN Legal business name Kennington, L Joseph
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 27th, 2006
Last updated Jul 15th, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215903406 NPPES
Missouri Other 080115895 RAILROAD MEDICARE

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