Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KENNETH BRUCE QUENNEVILLE, MD
Active Sole ProprietorDR. KENNETH BRUCE QUENNEVILLE, MD is a Emergency Medicine healthcare provider located in MEMPHIS, Missouri. NPI 1174591556 is currently active in the NPPES registry. Verify at CMS.
Emergency Medicine · MEMPHIS, MO
Registration Details
- NPI Number
- 1174591556
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 10, 2006 (20.419062201899 yrs)
- Last Updated
- Oct 16, 2023
- Licenses
-
39876 (IA)2009029477 (MO)2009029477 (MO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
12000 COUNTY ROAD 801MEMPHIS, MO, 635552024Browse MO providers · Browse ZIP 63555
- Phone
- 6609881296
- Primary Specialty
-
Emergency Medicine
207P00000X
- Additional Specialty
- General Practice
- Additional Specialty
- Emergency Medicine
Other Emergency Medicine Providers in MEMPHIS, MO
| Name | Credential | NPI |
|---|---|---|
| DR. RONALD W KELLER | D.O. | 1487689857 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.