David G. Kennedy a Professional Corporation

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

Legal business name

DAVID G. KENNEDY A PROFESSIONAL CORPORATION

Practice address

3009 N Ballas Rd
Suite 269C
Saint Louis, MO 63131-2322

Phone

(314) 743-0330

Fax

(314) 743-0339

NPI assigned

Apr 16, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. David G. Kennedy, M.D.

Title

President

Phone

(314) 743-0330

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395273600000",
    "number": "1205051265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11795",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631050595",
            "telephone_number": "314-743-0330",
            "fax_number": "314-743-0339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3009 N BALLAS RD",
            "address_2": "SUITE 269C",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631312322",
            "telephone_number": "314-743-0330",
            "fax_number": "314-743-0339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID G. KENNEDY A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-16",
        "last_updated": "2014-03-20",
        "status": "A",
        "authorized_official_last_name": "KENNEDY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "314-743-0330",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Efthemia Davelis, PHARMD
• Andra Davenport
• Emily Jordan Davenport, CRNA
• David a Parks, MD, PC
• David a. Durham DDS and Associates PC
• David J. Pernikoff, MD, PC
• David J. Tucker, MD, LLC
• David M Knight PSYD LLC
• David Robson MD
• Danielle David, LCSW

• Neurological Surgery Physician in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Neurological Surgery Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.