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Organization
KENNEDY FAMILY MEDICINE LLC
Active
Organization
KENNEDY FAMILY MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRYSTAL N KENNEDY NP (OWNER OPERATOR)
(260) 222-1181
Entity
Organization
Contact information
Practice address
1153 W 15TH ST, AUBURN, IN 46706-2061
(260) 222-1181
(260) 270-2800
Mailing address
1153 W 15TH ST, AUBURN, IN 46706-2061
(260) 222-1181
(260) 270-2800
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
01/19/2024
Last updated
01/23/2024
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