| Stephen Kennedy Do Llc | |
|
1415 Lincoln Way W Suite O Osceola IN 46561-2062 | |
| (574) 674-6499 | |
| (574) 674-6490 |
| Full Name | Stephen Kennedy Do Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1415 Lincoln Way W, Osceola, Indiana |
| Authorized Official Name and Position | Stephen D Kennedy (PRESIDENT) |
| Authorized Official Contact | 5742554733 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stephen Kennedy Do Llc 1415 Lincoln Way W Suite O Osceola IN 46561-2062 Ph: (574) 674-6499 | Stephen Kennedy Do Llc 1415 Lincoln Way W Suite O Osceola IN 46561-2062 Ph: (574) 674-6499 |
| NPI Number | 1114115045 |
|---|---|
| Provider Enumeration Date | 10/04/2007 |
| Last Update Date | 04/10/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114115045 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 02001650A (Indiana) | Primary |
Aixsa Perez M D P C Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1712 Lincolnway W, Suite A, Osceola, IN 46561 Phone: 574-675-9630 |