Kenyon, Dennis

Kenyon, Dennis is an sole proprietor health care provider with primary practice located at 2240 W Sunset St Ste 104 , Springfield MO 65807-6041. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / General Practice is his primary health care specialty. Kenyon, Dennis can be contacted via phone (417) 883-7500.

Contact Information

Primary practice address
2240 W Sunset St Ste 104 Springfield MO 65807-6041
Phone: (417) 883-7500
Fax: (417) 269-9281
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X R8D26 Missouri
Allopathic & Osteopathic Physicians / General Practice 208D00000X R8D26 Missouri

Profile Details

NPI number 1467433300
LBN Legal business name Kenyon, Dennis
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 8th, 2005
Last updated Sep 12th, 2023 - about 3 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 1467433300 NPPES
Missouri MEDICAID 202082517

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