SearchMissouri163W00000X

Kennadi Outlaw

NPI 1013879444 · on the registry since 2025

Practice

Address
4483 Duncan Ave
Saint Louis, MO 63110
Phone
(314) 454-7055
Clinicians at this address
11

Registry record

Primary taxonomy
163W00000X
163W00000X
Licence states on file
MO
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-11-24

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri