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Individual

DR. L THOMAS KENNEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1716 HARTFORD ST, LAFAYETTE, IN 47904-2173
(765) 742-1567
(765) 429-2700
Mailing address
1716 HARTFORD ST, LAFAYETTE, IN 47904-2173
(765) 742-1567
(765) 429-2700

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35030307
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
410666
OH
Enumeration date
12/22/2005
Last updated
11/03/2011
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