Kenney, Mary Katherine
Kenney, Mary Katherine is an individual health care provider with primary practice located at 1800 E Lake Shore Dr , Decatur IL 62521-3810. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Kenney, Mary Katherine can be contacted via phone (217) 464-2966.Contact Information
Primary practice address
1800 E Lake Shore Dr
Decatur IL 62521-3810
Phone: (217) 464-2966
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 085005526 | Illinois |
Profile Details
| NPI number | 1003299082 |
|---|---|
| LBN Legal business name | Kenney, Mary Katherine |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 8th, 2015 |
| Last updated | Dec 13th, 2023 - about 2 years ago |
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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