Individual
ANNA MARIN KENNEDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
611 W PARK ST, URBANA, IL 61801-2501
(217) 383-3311
Mailing address
4502 NICKLAUS DR APT 261, CHAMPAIGN, IL 61822-1509
(541) 310-9717
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
018.012300
IL
Other
Enumeration date
07/03/2025
Last updated
11/25/2025
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