Tom Kenney
NPI #1710070057 in Bloomington, Illinois
Provider Information
- NPI Number
- 1710070057
- Entity Type
- Individual
- Name
- Tom Kenney
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Family Medicine
- Enumeration Date
- Oct 1, 2006
- Last Updated
- Sep 16, 2008
Practice Location
- Address
- 1405 EASTLAND DR
- City
- Bloomington
- State
- Illinois
- ZIP Code
- 61701-3514
- Phone
- (309) 661-2400
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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