Individual
HELEN B. KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4965 E LOST BRIDGE RD, DECATUR, IL 62521-5139
(217) 864-5531
Mailing address
4965 E LOST BRIDGE RD, DECATUR, IL 62521-5139
(217) 864-5531
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209-000148
IL
Other
Enumeration date
11/06/2006
Last updated
12/30/2021
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