| Dr Agnes Kenny, MD | |
|
1694 W Logansport Rd, Peru, IN 46970-3149 | |
| (765) 472-2812 | |
| (765) 472-2970 |
| Full Name | Dr Agnes Kenny |
|---|---|
| Gender | Female |
| Speciality | General Practice |
| Location | 1694 W Logansport Rd, Peru, Indiana |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427013952 | NPI | - | NPPES |
| 1002555200 | Medicaid | IN | |
| 000000752605 | Other | IN | ANTHEM |
| P01011306 | Other | IN | RAILROAD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 01031072A (Indiana) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Agnes Kenny, MD 1694 W Logansport Rd, Peru, IN 46970-3149 Ph: (765) 472-2812 | Dr Agnes Kenny, MD 1694 W Logansport Rd, Peru, IN 46970-3149 Ph: (765) 472-2812 |
Dr. In T Yoon, M.D. General Practice Medicare: Not Enrolled in Medicare Practice Location: 29 E Main St, Peru, IN 46970 Phone: 765-473-5567 | |
Kaylynn Cataldo, RN General Practice Medicare: Not Enrolled in Medicare Practice Location: 1496 W Hoosier Blvd, Peru, IN 46970 Phone: 765-472-8907 Fax: 765-677-5175 |