Individual
SEAN JAMES KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
412 N MONROE ST, WILLIAMSPORT, IN 47993-1049
(765) 762-4000
(765) 762-4015
Mailing address
1606 N 7TH ST, TERRE HAUTE, IN 47804-2780
Taxonomy
Speciality
Code
Description
License number
State
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
Enumeration date
06/12/2023
Last updated
02/16/2026
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