| Townsen G Kennington, DPM, AACFAS | |
|
750 Broadway Ste 350, Fort Wayne, IN 46802-1412 | |
| (260) 423-2675 | |
| (260) 969-2905 |
| Full Name | Townsen G Kennington |
|---|---|
| Gender | Male |
| Speciality | Podiatry |
| Experience | 4 Years |
| Location | 750 Broadway Ste 350, Fort Wayne, Indiana |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558981001 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | SC007214 (Pennsylvania) | Secondary |
| 213E00000X | Podiatrist | 07001445A (Indiana) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Fort Wayne Medical Education Program | 2860387933 | 6 |
| Susquehanna Physician Services | 2264336460 | 510 |
| Provider Name | Fort Wayne Medical Education Program |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1184635153 PECOS PAC ID: 2860387933 Enrollment ID: O20040218000034 |
| Provider Name | Neighborhood Health Clinics Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1548291222 PECOS PAC ID: 8022926294 Enrollment ID: O20051012000658 |
| Mailing Address | Practice Location Address |
|---|---|
| Townsen G Kennington, DPM, AACFAS 750 Broadway Ste 350, Fort Wayne, IN 46802-1412 Ph: (260) 423-2675 | Townsen G Kennington, DPM, AACFAS 750 Broadway Ste 350, Fort Wayne, IN 46802-1412 Ph: (260) 423-2675 |
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