MARIE ANTOINETTE KENNEDY

MISHAWAKA, IN
NPI1851899140
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: IN  71007869A)
Additional Taxonomies363LG0600X Nurse Practitioner, Gerontology
(Licence: IN  71007869A)
363LG0600X Nurse Practitioner, Gerontology
(Licence: IN  28143781A)
Enumeration Date2018-02-01
Last Update Date2024-06-19
Business Address
MARIE ANTOINETTE KENNEDY
611 E DOUGLAS RD STE 208
MISHAWAKA, IN 46545-1465
Phone number: 574-335-6000
Mailing Address
MARIE ANTOINETTE KENNEDY
707 CEDAR ST STE 200
SOUTH BEND, IN 46617-2057
Phone number: 574-335-8707