Individual
DR. JASON WINFIELD KENNARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
421 W 1ST ST, BLOOMINGTON, IN 47403-2403
(812) 332-3531
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
01069928A
IN
2086S0102X
Surgical Critical Care Physician
01069928A
IN
Other
Enumeration date
03/05/2007
Last updated
09/20/2022
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