Individual
MS. LINDA L. KENNEDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, RT(R)
Contact information
Practice address
2521 S PASFIELD ST, SPRINGFIELD, IL 62704-4610
(217) 415-2469
Mailing address
2521 S PASFIELD ST, SPRINGFIELD, IL 62704-4610
(217) 415-2469
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
41308801
IL
Other
Enumeration date
05/23/2007
Last updated
07/08/2007
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