Mary Kennedy
Mary Kennedy is a Nurse Practitioner in Cullom, Illinois. Licensed in Illinois. Registered with an NPI since 2006.
- Licensed in
- IL
- In the registry since
- 2006
Practice location Address checks out
105 E Hack StCullom, IL 60929
Phone: (815) 689-2126
Fax: (815) 689-2131
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Nurse Practitioner (primary) | Taxonomy 363L00000X · Licence 041127471/209001007 (IL) |
|---|
Record details
| NPI number | 1578656716 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | October 2, 2006 |
| Last updated in NPPES | July 8, 2007 |
| Mailing address | 105 E Hack St, Cullom, IL 60929 |