Individual
SUSAN ELLEN KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
70 E 91ST ST STE 109, INDIANAPOLIS, IN 46240-1550
(317) 218-4081
(317) 218-4086
Mailing address
10100 ELIDA RD, DELPHOS, OH 45833-9058
(419) 695-8010
(606) 328-5153
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/05/2025
Last updated
02/05/2025
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