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Judith L Kennedy, MD
Obstetrics & Gynecology Physician in Fort Wayne, Indiana
NPI 1790963494

Judith L Kennedy is a Obstetrics & Gynecology Physician based in Fort Wayne, IN. Judith L Kennedy practices in Fort Wayne, IN and has the professional credentials of MD. The NPI Number for Judith L Kennedy is 1790963494 and holds a License No. 01064765B (Indiana).

The current practice location address for Judith L Kennedy is 11123 Parkview Plaza Dr., Fort Wayne, IN and can be reached out via phone at 260-425-6650 and via fax at 260-425-6649.

Location: 11123 Parkview Plaza Dr., Fort Wayne, IN, 46845-1701
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1790963494
Provider Name
Judith L Kennedy
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
11123 Parkview Plaza Dr., Fort Wayne, IN, 46845-1701
Phone Number
260-425-6650
Fax Number
260-425-6649
Provider Enumeration Date
02/05/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200947960 05 IN
3013287 01 IN OH MEDICAID
P00907654 01 IN R.R. MEDICARE
000000620977 01 IN ANTHEM
institution
Provider Business Practice Location Address Details
Address
11123 Parkview Plaza Dr.
City
Fort Wayne
State
Indiana
Zip
46845
Phone Number
260-425-6650
Fax Number
260-425-6649
person
Provider Business Mailing Address Details
Address
11123 Parkview Plaza Dr.
City
Fort Wayne
State
Indiana
Zip
46845
Phone Number
260-425-6650
Fax Number
260-425-6649
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
-
Taxonomy
207V00000X
License No.
01064765B (Indiana)
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
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