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

Individual provider Emergency Medicine Physician · NPI 1790774362

Dr. Tracy Martig Kennetz, MD is an Emergency Medicine Physician in Springfield, Missouri. Practices as a sole proprietor. Licensed in Arkansas and Missouri.

Licensed in
AR, MO
In the registry since
2005
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1423 N National Ave
Springfield, MO 65802-2047
Phone: (417) 269-6583
Fax: (417) 269-6573
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence E-11413 (AR)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 2001004533 (MO)

Record details

NPI number1790774362
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedOctober 17, 2005
Last updated in NPPESOctober 1, 2018
Mailing address1304 E Republic Rd, Springfield, MO 65804-7210

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