John Wayne Kennedy, MD

NPI #1780665448 in Marion, Indiana

Provider Information

NPI Number: 1780665448
Entity Type: Individual
Name: John Wayne Kennedy, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: General Practice
Credential: MD
Enumeration Date: Nov 9, 2005
Last Updated: Feb 15, 2013

Practice Location

Address: 1614 N BALDWIN AVE
City: Marion
State: Indiana
ZIP Code: 46952-1437
Phone: (765) 664-9000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X
General Practice	208D00000X	Primary

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