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

Leandre Kennedy, DPM

Individual provider Foot & Ankle Surgery Podiatrist · NPI 1962286518

Leandre Kennedy, DPM is a Podiatry in Peoria, Illinois. Qualified in 2023, 3 years ago. Licensed in Illinois.

Years since qualifying
3
Licensed in
IL
In the registry since
2023
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

See every abbreviation used in this directory →

Practice location Address checks out

3322 W Willow Knolls Dr
Peoria, IL 61614-8148
Phone: (309) 691-5800
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 135001212 (IL)

Record details

NPI number1962286518
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorNo
NPI enumeratedAugust 23, 2023
Last updated in NPPESFebruary 17, 2026
Certification dateFebruary 17, 2026
Mailing address3322 W Willow Knolls Dr, Peoria, IL 61614-8148

Medicare enrollment

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

Medicare specialtyPODIATRY
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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