Cynthia Z Kenneally, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

R2D39 Issued in MO

Practice address

1040 N Mason Rd
Suite 219
Saint Louis, MO 63141-6399

Phone

(314) 275-2020

Fax

(314) 275-8719

NPI assigned

Jul 18, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1281571200000",
    "number": "1699793406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "660 S EUCLID AVE",
            "address_2": "C B 8096",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631101010",
            "telephone_number": "314-275-2020",
            "fax_number": "314-275-8719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 N MASON RD",
            "address_2": "SUITE 219",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631416399",
            "telephone_number": "314-275-2020",
            "fax_number": "314-275-8719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEALLY",
        "first_name": "CYNTHIA",
        "middle_name": "Z",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-18",
        "last_updated": "2010-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MO",
            "license": "R2D39",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "202473419",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nadia Kenfack Kembou
• Venkata Kishore Kenguva, M.D.
• Nasmir Kenjar
• Jordan Featherston Kennamann, MSN, CPNP-PC
• Kaitlyn Kennard, MD
• Alexandria Catherine Kennebeck
• Valerie Claire Kennedy Lang, MSW, LCSW
• Nancy Adelina Kennedy-Delgado, MD
• Angela M Kennedy, PNP
• Anne Kennedy, PHARMD

• Ophthalmology Physician in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Ophthalmology Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2010; 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.