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:
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Health care specialties

SpecialtyCodeLicense #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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