Individual
MISS KAREN LYNN KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, NNP-BC
Contact information
Practice address
611 W. PARK ST., NEONATOLOGY, URBANA, IL 61801-2500
(217) 383-3266
(217) 383-3463
Mailing address
611 W. PARK ST., BWPC, URBANA, IL 61801-2500
(217) 383-6792
Taxonomy
Speciality
Code
Description
License number
State
163WN0002X
Neonatal Intensive Care Registered Nurse
28066208A
IN
363L00000X
Nurse Practitioner
Primary
209002032
IL
Other
Enumeration date
09/02/2009
Last updated
05/26/2015
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