NATHAN T KENYON

SSM AUDRAIN HEALTH CARE INC

Dr NATHAN T KENYON is a male medical professional, specializing in Physical Medicine And Rehabilitation. He graduated in 2012.

Contact

SSM AUDRAIN HEALTH CARE INC

515 E PROMENADE ST
SSM HEALTH MED GROUP
MEXICO
MO
652652966

Tel: 5735828506

NATHAN T KENYON Information

Npi 1851651657
Pac Id 3274768494
Professional Enrollment Id I20170714002288
Last Name KENYON
First Name NATHAN
Middle Name T
Suffix
Gender M
Credential
Medical School Name OTHER
Graduation Year 2012
Primary Specialty PHYSICAL MEDICINE AND REHABILITATION
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name SSM AUDRAIN HEALTH CARE INC
Group Practice Pac Id 3678481827
Number Of Group Practice Members 21
Line 1 Street Address 515 E PROMENADE ST
Line 2 Street Address SSM HEALTH MED GROUP
Marker Of Address Line 2 Suppression
City MEXICO
State MO
Zip Code 652652966
Phone Number 5735828506
Hospital Affiliation Ccn 1 260064
Hospital Affiliation Lbn 1 SSM HEALTH ST. MARY'S HOSPITAL-AUDRAIN
Hospital Affiliation Ccn 2 260011
Hospital Affiliation Lbn 2 SSM HEALTH ST MARY'S HOSPITAL JEFFERSON CITY
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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