Individual
KENNEDY GROVOGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8433 HARCOURT RD STE 310, INDIANAPOLIS, IN 46260-2198
(317) 338-9393
Mailing address
8433 HARCOURT RD STE 310, INDIANAPOLIS, IN 46260-2198
(317) 338-9393
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
03/07/2024
Last updated
03/07/2024
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