Individual
WILLIAM KENNEBREW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OWNER
Contact information
Practice address
8019 GLENWAY DR APT 208, INDIANAPOLIS, IN 46236-7915
(317) 679-4112
Mailing address
8019 GLENWAY DR APT 208, INDIANAPOLIS, IN 46236-7915
(317) 679-4112
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
25-019680-1
IN
Other
Enumeration date
06/18/2026
Last updated
06/18/2026
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