DR. Kennedy Mcmullen, M.D.
NPI #1548204878 in Forest Park, Illinois
Provider Information
- NPI Number
- 1548204878
- Entity Type
- Individual
- Name
- DR. Kennedy Mcmullen, M.D.
- Gender
- Not Specified
- Sole Proprietor
- Not Answered
- Primary Specialty
- Specialist
- Credential
- M.D.
- Enumeration Date
- Jun 16, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 442 JACKSON BLVD
- Address 2
- APT. 1N
- City
- Forest Park
- State
- Illinois
- ZIP Code
- 60130-1751
- Phone
- (708) 209-1899
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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