DR. PEGGY LYNN KENDALL MD NPI 1306938725

NPI Information

NPI: 1306938725
Provider Name: DR. PEGGY LYNN KENDALL, MD
Classification: Internal Medicine - 207RA0201X
Entity Type: Individual

Specialization: Allergy & Immunology

PECOS Registration: Yes

Address:
4921 PARKVIEW PL
DIV IM ALLERGY AND IMMUNOLOGY, STE 8B
SAINT LOUIS, MO
ZIP 63110
Phone: (314) 996-8670
Get Directions

DR. Peggy Lynn Kendall, MD is an allergy and immunology internal medicine in Saint Louis, MO. The provider is an internist doctor of osteopathy that specializes in the treatment of allergy and immunologic disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Special Qualifications in the field of Allergy & Immunology. DR. Peggy Lynn Kendall, MD NPI is 1306938725. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4921 PARKVIEW PL
DIV IM ALLERGY AND IMMUNOLOGY, STE 8B
SAINT LOUIS, MO
ZIP 63110-032
Phone: (314) 996-8670
Fax: (314) 747-2417

The NPI 1306938725 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/30/2006 and was last updated on 4/25/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207R00000X	Internal Medicine		2020002762	MISSOURI	No
2	207RA0201X	Internal Medicine	Allergy & Immunology	2020002762	MISSOURI	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	200080962	MEDICAID	MISSOURI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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