Individual
NANCY ARLENE KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
188 STATE ROAD 129 S, BATESVILLE, IN 47006-7628
(812) 934-6400
(812) 934-6330
Mailing address
PO BOX 236, BATESVILLE, IN 47006-0236
(812) 933-5441
(812) 933-5446
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01037704A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000074847
ANTHEM PROVIDER #
IN
05
—
100351490
—
IN
Enumeration date
07/18/2006
Last updated
03/29/2021
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