Stephen Kennedy Do LLC

NPI #1114115045 in Osceola, Indiana

Provider Information

NPI Number: 1114115045
Entity Type: Organization
Organization Name: Stephen Kennedy Do LLC
Primary Specialty: Family Medicine
Enumeration Date: Oct 4, 2007
Last Updated: Apr 10, 2008

Practice Location

Address: 1415 LINCOLN WAY W
Address 2: SUITE O
City: Osceola
State: Indiana
ZIP Code: 46561-2062
Phone: (574) 674-6499

Authorized Official

Name: DR. STEPHEN D KENNEDY, D.O.
Title: PRESIDENT
Phone: (574) 255-4733

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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