Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
NICOLE LYNETTE KENNEDY, MD
ActiveNICOLE LYNETTE KENNEDY, MD is a Family Medicine healthcare provider located in MARION, Illinois. NPI 1780902486 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · MARION, IL
Registration Details
- NPI Number
- 1780902486
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 6, 2010 (16.277318063976 yrs)
- Last Updated
- Aug 21, 2023
- Licenses
-
32561 (SC)036132187 (IL)036132187 (IL)
Practice Information
- Address
-
3411 PROFESSIONAL PARK DRIVESIMCAMARION, IL, 62959Browse IL providers · Browse ZIP 62959
- Phone
- 6189972161
- Fax
- 6189972464
- Primary Specialty
-
Family Medicine
207Q00000X
- Additional Specialty
- Hospitalist
- Additional Specialty
- Family Medicine
Other Family Medicine Providers in MARION, IL
| Name | Credential | NPI |
|---|---|---|
| DR. SEAN E MCCAIN | MD | 1629050307 |
| DR. JODI L FOX | M.D. | 1508848284 |
| DR. MESHACH VEDANAYAGAM SAMUEL | — | 1124092341 |
| ROBERT JOSEPH TIFFIN JR. | MD | 1023084308 |
| JAN BOWMAN-MARSH | MD | 1992766190 |
| SHOBHA DAYAL | MD | 1396702817 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.