MR. Warren K Kennedy, PA-C
NPI #1083898290 in Great Lakes, Illinois
Provider Information
- NPI Number
- 1083898290
- Entity Type
- Individual
- Name
- MR. Warren K Kennedy, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant - Medical
- Credential
- PA-C
- Enumeration Date
- Dec 24, 2007
- Last Updated
- Dec 24, 2007
Practice Location
- Address
- 3420 ILLINOIS ST
- City
- Great Lakes
- State
- Illinois
- ZIP Code
- 60088-3120
- Phone
- (847) 688-2522
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Medical — Medical |
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