Individual
ABIGAIL KENNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1414 CROSS ST STE 230, SHILOH, IL 62269-2941
(618) 607-1260
(618) 624-4865
Mailing address
PO BOX 959203, SAINT LOUIS, MO 63195-9203
(618) 607-1260
(618) 624-4865
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
292984
NC
363L00000X
Nurse Practitioner
Primary
209032670
IL
363LF0000X
Family Nurse Practitioner
5013516
NC
Other
Enumeration date
01/17/2020
Last updated
10/29/2025
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