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1003299082
MARY KATHERINE KENNEY
DECATUR, IL
NPI
1003299082
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant Medical
(Licence: IL 085005526)
Enumeration Date
2015-07-08
Last Update Date
2023-12-13
Business Address
MARY KATHERINE KENNEY PA
1800 E LAKE SHORE DR
DECATUR, IL 62521-3810
Phone number: 217-464-2966
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Mailing Address
MARY KATHERINE KENNEY PA
3131 N WATER ST
DECATUR, IL 62526-2472
Phone number: 217-876-5320
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