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Individual
KENNEDY DOYLE
Active
Individual
KENNEDY DOYLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
71016339A
IN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
71016339A
IN
Other
Enumeration date
02/25/2025
Last updated
05/14/2026
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