Mcmullen, Kennedy

Mcmullen, Kennedy is an individual health care provider with primary practice located at 442 Jackson Blvd Apt. 1N, Forest Park IL 60130-1751. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Mcmullen, Kennedy can be contacted via phone (708) 209-1899.

Contact Information

Primary practice address

442 Jackson Blvd Apt. 1N Forest Park IL 60130-1751

Phone: (708) 209-1899

Fax:

Website:

Map and Directions

Health care specialties

Specialty	Code	License #	State
Other Service Providers / Specialist	174400000X		Illinois

Profile Details

NPI number	1548204878
LBN Legal business name	Mcmullen, Kennedy
Credentials	Doctor of Medicine (MD)
Entity	Individual
Sole proprietor ¹	No
Enumeration date	Jun 16th, 2006
Last updated	Jul 8th, 2007 - about 17 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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