Mark E Kennedy
NPI #1972707792 in Lawrenceville, Illinois
Provider Information
- NPI Number
- 1972707792
- Entity Type
- Individual
- Name
- Mark E Kennedy
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Anesthetist, Certified Registered
- Enumeration Date
- Jun 14, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 2200 STATE ST
- City
- Lawrenceville
- State
- Illinois
- ZIP Code
- 62439-1852
- Phone
- (618) 943-1000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Anesthetist, Certified Registered |
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