M. Wayne Kennedy is a Clinical in Ozark, Missouri. M. Wayne Kennedy practices all healthcare services and medical treatments related to Clinical. The NPI Number for M. Wayne Kennedy is 1134271083. The last update date is 2007-07-09.
M. Wayne Kennedy's current location address is 445 E South St, Ozark, Missouri. You can contact this provider via phone number 4175810077 and fax number 4175811220. The mailing address for M. Wayne Kennedy is 445 E South St, Ozark, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | M. Wayne Kennedy |
|---|---|
| Address | 445 E South St, Ozark, Missouri |
| Phone Number | 4175810077 |
| Fax Number | 4175811220 |
| Sole Proprietor | N |
| Credentials | PSY.D. |
NPI Number Detail
| NPI Number | 1134271083 |
|---|---|
| Provider Enumeration Date | 2007-01-18 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 445 E South St |
|---|---|
| City | Ozark |
| State | Missouri (MO) |
| Post Code | 657219406 |
| Phone Number | 4175810077 |
| Fax Number | 4175811220 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 2005015539 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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What is the unique 10-digit identifier code issued to M. Wayne Kennedy by the Centers for Medicare & Medicaid Services?
The M. Wayne Kennedy has been assigned the NPI (National Provider Identifier) 1134271083 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where M. Wayne Kennedy is located?
The M. Wayne Kennedy is situated at the following address: 445 E South St, Ozark, MO, 657219406.
What is M. Wayne Kennedy's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for M. Wayne Kennedy is Clinical, and the taxonomy classification code that categorizes this area of expertise is 103Tc0700X.
On what date did the Centers for Medicare & Medicaid Services assign the 1134271083 to M. Wayne Kennedy?
The Centers for Medicare & Medicaid Services assigned the 1134271083 to M. Wayne Kennedy on 2007-01-18.
As of what date was the information regarding M. Wayne Kennedy, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to M. Wayne Kennedy, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-09.