Individual
BARBARA JEAN KENNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
3203 W 85TH ST, CHICAGO, IL 60652-3726
(773) 737-9242
Mailing address
3203 W 85TH ST, CHICAGO, IL 60652-3726
(773) 737-9242
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
041209065
IL
Other
Enumeration date
12/22/2014
Last updated
12/22/2014
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