IndividualActive
Stephanie Kennedy
NPI 1063967339 · Contractor · Saint Louis, MO
Provider details
- NPI number
- 1063967339
- Entity type
- Individual
- Primary specialty
- ContractorOther Service Providers
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Other Service Providers
Practice location
5890 Kennerly Ave
Saint Louis, MO 63112-3822
Phone: (314) 537-5493
Approximate (ZIP-level) locationGet directions
Mailing address
5890 Kennerly Ave
Saint Louis, MO 63112-3822
Registry dates
- Enumerated
- 2016-08-16
- Last updated
- 2016-08-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.