person
Dr. Agnes Kenny, MD
General Practice Physician in Peru, Indiana
NPI 1427013952

Agnes Kenny is a General Practice Physician based in Peru, IN. Agnes Kenny practices in Peru, IN and has the professional credentials of MD. The NPI Number for Agnes Kenny is 1427013952 and holds a License No. 01031072A (Indiana).

The current practice location address for Agnes Kenny is 1694 W Logansport Rd, Peru, IN and can be reached out via phone at 765-472-2812 and via fax at 765-472-2970.

Location: 1694 W Logansport Rd, Peru, IN, 46970-3149
person
Provider Profile Details
NPI Number
1427013952
Provider Name
Agnes Kenny
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
1694 W Logansport Rd, Peru, IN, 46970-3149
Phone Number
765-472-2812
Fax Number
765-472-2970
Provider Enumeration Date
04/18/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1002555200 05 IN
000000752605 01 IN ANTHEM
P01011306 01 IN RAILROAD
institution
Provider Business Practice Location Address Details
Address
1694 W Logansport Rd
City
State
Zip
46970-3149
Phone Number
765-472-2812
Fax Number
765-472-2970
person
Provider Business Mailing Address Details
Address
1694 W Logansport Rd
City
State
Zip
46970-3149
Phone Number
765-472-2812
Fax Number
765-472-2970
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
01031072A (Indiana)
Definition
Definition to come...
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