Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. TRACY MARTIG KENNETZ, M.D.
Active Sole ProprietorDR. TRACY MARTIG KENNETZ, M.D. is a Emergency Medicine healthcare provider located in SPRINGFIELD, Missouri. NPI 1790774362 is currently active in the NPPES registry. Verify at CMS.
Emergency Medicine · SPRINGFIELD, MO
Registration Details
- NPI Number
- 1790774362
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 17, 2005 (20.810104447172 yrs)
- Last Updated
- Oct 1, 2018
- Licenses
-
2001004533 (MO)E-11413 (AR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1423 N NATIONAL AVESPRINGFIELD, MO, 658022047Browse MO providers · Browse ZIP 65802
- Phone
- 4172696583
- Fax
- 4172696573
- Primary Specialty
-
Emergency Medicine
207P00000X
- Additional Specialty
- Emergency Medicine
Other Emergency Medicine Providers in SPRINGFIELD, MO
| Name | Credential | NPI |
|---|---|---|
| DR. SAM ALEXANDER | M.D. | 1780670463 |
| DR. JACOB BALTZ | M.D. | 1174519821 |
| RONALD BENSCOTER | M.D. | 1538155296 |
| DR. MATTHEW BRANDT | M.D. | 1710974118 |
| DR. JOSEPH COOPER | M.D. | 1679560080 |
| DR. MARK BRADY | M.D. | 1366439630 |
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.