Individual provider · Type 1 NPI

Jerry D. Kennett, MD

Cardiovascular Disease Physician · Columbia, MO

NPI number 1851383145 Active

Practice location

1605 E Broadway Ste 300
Columbia, MO 65201-8023

Call (573) 256-7700 Map

Fax (573) 256-3003

Mailing address

1605 E Broadway, Suite 300
Columbia, MO 65201-8023

Specialties and licenses

TaxonomyCodeLicense
Cardiovascular Disease Physician Primary 207RC0000XR5649 (MO)

Cardiovascular Disease Physician: An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

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About NPI 1851383145

Jerry D. Kennett, MD's National Provider Identifier is 1851383145, issued on Aug 22, 2005. The primary taxonomy on file is Cardiovascular Disease Physician (207RC0000X), and the practice location is in Columbia, MO. The record was last updated on Jul 28, 2023.