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Individual
SEAN JAMES KENNEDY
Active
Individual
SEAN JAMES KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
02008328A
IN
207R00000X
Internal Medicine Physician
02008328A
IN
208M00000X
Hospitalist Physician
Primary
02008328A
IN
390200000X
Student in an Organized Health Care Education/Training Program
11022675A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300077387
—
IN
Enumeration date
06/12/2023
Last updated
08/11/2026
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