Individual
SARAH K KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1701 N SENATE BLVD, ROOM DG412, INDIANAPOLIS, IN 46202-1239
(317) 962-3886
(317) 963-5492
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
01072300A
IN
207P00000X
Emergency Medicine Physician
2009015009
MO
207P00000X
Emergency Medicine Physician
2012030581
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000820221
ANTHEM PTAN
IN
01
—
000000820371
ANTHEM PTAN
IN
05
—
201151480
—
IN
Enumeration date
06/25/2009
Last updated
03/12/2025
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