Jerry D Kennett in Columbia - Cardiovascular Disease
Jerry D Kennett - NPI 1851383145
Jerry D Kennett is a Cardiovascular Disease in Columbia, Missouri. Jerry D Kennett practices all healthcare services and medical treatments related to Cardiovascular Disease. The NPI Number for Jerry D Kennett is 1851383145. The last update date is 2023-07-28.
Jerry D Kennett's current location address is 1605 E Broadway, Columbia, Missouri. You can contact this provider via phone number 5732567700 and fax number 5732563071. The mailing address for Jerry D Kennett is 1605 E Broadway, Columbia, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jerry D Kennett |
|---|---|
| Address | 1605 E Broadway, Columbia, Missouri |
| Phone Number | 5732567700 |
| Fax Number | 5732563071 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1851383145 |
|---|---|
| Provider Enumeration Date | 2005-08-22 |
| Last Updated Date | 2023-07-28 |
Provider Mailing Address Detail
| Address | 1605 E Broadway |
|---|---|
| City | Columbia |
| State | Missouri (MO) |
| Post Code | 652018023 |
| Phone Number | 5732567700 |
| Fax Number | 5732563071 |
Provider's Primary Taxonomy Detail
| Speciality | Cardiovascular Disease |
|---|---|
| Taxonomy | 207Rc0000X |
| Licence No | R5649 |
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Definition: 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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What is the unique 10-digit identification code issued to Jerry D Kennett by the Centers for Medicare & Medicaid Services?
The Jerry D Kennett has been assigned the NPI (National Provider Identifier) 1851383145 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Can you provide the Jerry D Kennett's physical address?
The Jerry D Kennett is physically located at 1605 E Broadway, in the city of Columbia, MO, with the postal code 652018023.
What is the Jerry D Kennett's area of specialization and corresponding taxonomy classification?
The Jerry D Kennett's specialty field is Cardiovascular Disease, and it falls under the taxonomy code 207Rc0000X, which categorizes healthcare providers based on their specialties.
On what date was the 1851383145 assigned to Jerry D Kennett?
The Jerry D Kennett was issued its 1851383145 on 2005-08-22, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Jerry D Kennett, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Jerry D Kennett, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2023-07-28.