person
Mary Katherine Kenney, PA
Medical Physician Assistant in Decatur, Illinois
NPI 1003299082

Mary Katherine Kenney is a Medical Physician Assistant based in Decatur, IL and is specialized in Medical. Mary Katherine Kenney practices in Decatur, IL and has the professional credentials of PA. The NPI Number for Mary Katherine Kenney is 1003299082 and holds a License No. 085005526 (Illinois).

The current practice location address for Mary Katherine Kenney is 1800 E Lake Shore Dr, Decatur, IL and can be reached out via phone at 217-464-2966. You can also correspond with Mary Katherine Kenney through the mailing address at 3131 N WATER ST, DECATUR, IL - 62526-2472 (mailing address contact number: 217-876-5320).

Location: 1800 E Lake Shore Dr, Decatur, IL, 62526-2472
person
Provider Profile Details
NPI Number
1003299082
Provider Name
Mary Katherine Kenney
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
1800 E Lake Shore Dr, Decatur, IL, 62526-2472
Phone Number
217-464-2966
Fax Number
Provider Enumeration Date
07/08/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1800 E Lake Shore Dr
City
State
Zip
62521-3810
Phone Number
217-464-2966
Fax Number
person
Provider Business Mailing Address Details
Address
3131 N Water St
City
State
Zip
62526-2472
Phone Number
217-876-5320
Fax Number
217-876-5865
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
085005526 (Illinois)
Definition
Definition to come...
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