Kennedy, Leandre

Kennedy, Leandre is an individual health care provider with primary practice located at 2802 W Gilbert Ave , Peoria IL 61604-2136. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Kennedy, Leandre can be contacted via phone (612) 437-7425.

Contact Information

Primary practice address
2802 W Gilbert Ave Peoria IL 61604-2136
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 135001212 Illinois

Profile Details

NPI number 1962286518
LBN Legal business name Kennedy, Leandre
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 23rd, 2023
Last updated Aug 23rd, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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