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John Wayne Kennedy, MD
General Practice Physician in Marion, Indiana
NPI 1780665448

John Wayne Kennedy is a General Practice Physician based in Marion, IN. John Wayne Kennedy practices in Marion, IN and has the professional credentials of MD. The NPI Number for John Wayne Kennedy is 1780665448 and holds a License No. 01022780 (Indiana).

The current practice location address for John Wayne Kennedy is 1614 N Baldwin Ave, Marion, IN and can be reached out via phone at 765-664-9000 and via fax at 765-391-1521.

Location: 1614 N Baldwin Ave, Marion, IN, 46952-1437
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1780665448
Provider Name
John Wayne Kennedy
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1614 N Baldwin Ave, Marion, IN, 46952-1437
Phone Number
765-664-9000
Fax Number
765-391-1521
Provider Enumeration Date
11/09/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000000576122 01 IN BCBS
000000697935 01 IN BCBS
100123680 05 IN
000000286588 01 IN ANTHEM BCBS
institution
Provider Business Practice Location Address Details
Address
1614 N Baldwin Ave
City
Marion
State
Indiana
Zip
46952-1437
Phone Number
765-664-9000
Fax Number
765-391-1521
person
Provider Business Mailing Address Details
Address
1614 N Baldwin Ave
City
Marion
State
Indiana
Zip
46952-1437
Phone Number
765-664-9000
Fax Number
765-391-1521
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
01022780A (Indiana)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
01022780 (Indiana)
Definition
Definition to come...
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