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

Individual provider Physical Medicine & Rehabilitation Physician · NPI 1851651657

Nathan Timothy Kenyon, MD is a Physical Medicine and Rehabilitation in Jefferson City, Missouri. Qualified in 2012, 14 years ago. Practices with SSM Regional Health Services, a 166-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Missouri.

Years since qualifying
14
Licensed in
MO
In the registry since
2012
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

2505 Mission Dr Ste 200
Jefferson City, MO 65109-9508
Phone: (573) 681-3759
Fax: (573) 681-3659
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X · Licence 2013018167 (MO)

Record details

NPI number1851651657
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMay 25, 2012
Last updated in NPPESFebruary 22, 2018
Mailing address2505 Mission Dr Ste 200, Jefferson City, MO 65109-9508

Medicare enrollment

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

Medicare specialtyPHYSICAL MEDICINE AND REHABILITATION
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Ssm Regional Health Services — 166 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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