person
Crystal Nicole Kennedy, NP
Primary Care Nurse Practitioner in Auburn, Indiana
NPI 1902267057

Crystal Nicole Kennedy is a Primary Care Nurse Practitioner based in Auburn, IN and is specialized in Primary Care. Crystal Nicole Kennedy practices in Auburn, IN and has the professional credentials of NP. The NPI Number for Crystal Nicole Kennedy is 1902267057 and holds a License No. 71006117A (Indiana).

The current practice location address for Crystal Nicole Kennedy is 1153 W 15Th St, Auburn, IN and can be reached out via phone at 260-222-1181 and via fax at 260-333-0510.

Location: 1153 W 15Th St, Auburn, IN, 46706-2061
person
Provider Profile Details
NPI Number
1902267057
Provider Name
Crystal Nicole Kennedy
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
1153 W 15Th St, Auburn, IN, 46706-2061
Phone Number
260-222-1181
Fax Number
260-333-0510
Provider Enumeration Date
03/17/2016
Last Update Date
11/16/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
Q00659366 01 IN RAILROAD PTAN
201350820 05 IN
1902267057 01 IN ANTHEM PTAN
institution
Provider Business Practice Location Address Details
Address
1153 W 15Th St
City
State
Zip
46706-2061
Phone Number
260-222-1181
Fax Number
260-333-0510
person
Provider Business Mailing Address Details
Address
1153 W 15Th St
City
State
Zip
46706-2061
Phone Number
260-222-1181
Fax Number
260-333-0510
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
71006117A (Indiana)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Primary Care
Taxonomy
License No.
71006117A (Indiana)
Definition
Definition to come...
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