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

Dr. Stephen D Kennedy, MD

Individual provider Family Medicine Physician · NPI 1700957123

Dr. Stephen D Kennedy, MD is a Family Practice in Peru, Indiana. Graduated from Indiana University School of Medicine in 1994, 32 years ago. Practices with Memorial Hospital, a 63-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
32
Trained at
Indiana University School of Medicine
Licensed in
IN
In the registry since
2006
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

751 W 2nd St Ste 100
Peru, IN 46970-1385
Phone: (765) 919-4378
Fax: (765) 919-4672
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 01044433 (IN)

Record details

NPI number1700957123
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedNovember 10, 2006
Last updated in NPPESAugust 16, 2024
Certification dateAugust 16, 2024
Mailing address751 W 2nd St Ste 100, Peru, IN 46970-1385

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolINDIANA UNIVERSITY SCHOOL OF MEDICINE
Graduated 1994 (32 years in practice)
Group practice Memorial Hospital — 63 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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