Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Kevin M Renner, DPM

Individual provider Foot & Ankle Surgery Podiatrist · NPI 1710305677

Dr. Kevin M Renner, DPM is a Podiatry in Poplar Bluff, Missouri. Qualified in 2014, 12 years ago. Practices with Preferred Podiatry Group PC, a 129-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
12
Licensed in
MO
In the registry since
2014
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

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Practice location Address checks out

225 Physicians Park Ste 102
Poplar Bluff, MO 63901-3918
Phone: (573) 785-4546
Fax: (573) 785-6959
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence 2017016516 (MO)

Record details

NPI number1710305677
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorYes
NPI enumeratedMarch 28, 2014
Last updated in NPPESJuly 21, 2022
Mailing address225 Physicians Park Drive, Suite 102, Poplar Bluff, MO 63901

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPODIATRY
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Preferred Podiatry Group Pc — 129 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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