Individual
KENNETH KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1655 N GLADSTONE AVE STE E, COLUMBUS, IN 47201-5380
(812) 657-8080
(502) 561-7280
Mailing address
1655 N GLADSTONE AVE STE E, COLUMBUS, IN 47201-5380
(812) 657-8080
(502) 561-7280
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
01085486A
IN
207Y00000X
Otolaryngology Physician
96157
GA
Other
Enumeration date
03/31/2016
Last updated
08/02/2023
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