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
Phone: (612) 437-7425
Fax:
Website:
Health care specialties
Specialty | Code | License # | 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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