Individual provider · Type 1 NPI

Kevin M. Renner, D.P.M.

Foot & Ankle Surgery Podiatrist · Poplar Bluff, MO

NPI number 1710305677 Active

Practice location

225 Physicians Park Ste 102
Poplar Bluff, MO 63901-3918

Fax (573) 785-6959

Mailing address

225 Physicians Park Drive, Suite 102
Poplar Bluff, MO 63901

Specialties and licenses

TaxonomyCodeLicense
Foot & Ankle Surgery Podiatrist Primary 213ES0103X2017016516 (MO)

Foot & Ankle Surgery Podiatrist: Definition to come...

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About NPI 1710305677

Kevin M. Renner, D.P.M.'s National Provider Identifier is 1710305677, issued on Mar 28, 2014. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Poplar Bluff, MO. The record was last updated on Jul 21, 2022.