Tom Kenney
Tom Kenney is a Family Practice in Bloomington, Illinois. Graduated from University of Nebraska College of Medicine in 1985, 41 years ago. Licensed in Illinois.
- Years since qualifying
- 41
- Trained at
- University of Nebraska College of Medicine
- Licensed in
- IL
- In the registry since
- 2006
Practice location Address checks out
1405 Eastland DrBloomington, IL 61701-3514
Phone: (309) 661-2400
Fax: (309) 661-6226
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X · Licence 036073299 (IL) |
|---|
Record details
| NPI number | 1710070057 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | October 1, 2006 |
| Last updated in NPPES | September 16, 2008 |
| Mailing address | 1405 Eastland Dr, Bloomington, IL 61701-3514 |
Medicare enrollment
| Medicare specialty | FAMILY PRACTICE |
|---|---|
| Medical school | UNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE |
| Graduated | 1985 (41 years in practice) |
| Accepts Medicare assignment | Not indicated |
| Practice locations | 2 on file with Medicare |
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